| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $102.33 | $1,071.52 | $7,585.78 | |
Medcost
| Facility | $61.66 | $371.54 | $758.58 | |
United
| Facility | $363.08 | $812.83 | $1,949.84 | |
Wellcare
| Facility | $56.23 | $1,445.44 | $1,445.44 |