| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $95.50 | $234.42 | $6,918.31 | |
Medcost
| Facility | $58.88 | $85.11 | $144.54 | |
United
| Facility | $776.25 | $2,137.96 | $4,265.80 | |
Wellcare
| Facility | $56.23 | $1,584.89 | $1,584.89 |