| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $192.22 | $438.81 | $4,378.35 | |
Medcost
| Facility | $127.99 | $207.60 | $284.64 | |
United
| Facility | $361.00 | $896.00 | $2,229.00 | |
Wellcare
| Facility | $900.36 | $900.36 | $16,394.00 |