| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $233.10 | $1,032.98 | $5,449.00 | |
Medcost
| Facility | $166.86 | $311.83 | $430.98 | |
United
| Facility | $905.00 | $2,417.00 | $4,102.00 | |
Wellcare
| Facility | $55.00 | $1,170.96 | $1,170.96 |