| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $436.52 | $6,456.54 | $8,709.64 | |
Medcost
| Facility | $416.87 | $489.78 | $741.31 | |
United
| Facility | $1,995.26 | $7,244.36 | $10,471.29 | |
Wellcare
| Facility | $56.23 | $3,715.35 | $3,715.35 |