| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $128.49 | $4,364.20 | $7,278.00 | |
Medcost
| Facility | $128.49 | $203.00 | $302.14 | |
United
| Facility | $2,526.00 | $7,659.00 | $10,502.00 | |
Wellcare
| Facility | $741.42 | $5,819.45 | $16,394.00 |