| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.55 | $1,148.15 | $10,471.29 | |
Medcost
| Facility | $138.04 | $309.03 | $602.56 | |
United
| Facility | $363.08 | $812.83 | $1,949.84 | |
Wellcare
| Facility | $2,511.89 | $2,511.89 | $33,884.42 |