| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $228.93 | $1,747.56 | $7,278.00 | |
Medcost
| Facility | $216.08 | $329.39 | $478.46 | |
United
| Facility | $905.00 | $2,417.00 | $4,102.00 | |
Wellcare
| Facility | $55.00 | $1,491.98 | $3,586.95 |