| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $575.44 | $1,737.80 | $8,128.31 | |
Medcost
| Facility | $194.98 | $263.03 | $478.63 | |
United
| Facility | $933.25 | $2,137.96 | $4,265.80 | |
Wellcare
| Facility | $56.23 | $3,548.13 | $3,548.13 |