| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $239.64 | $378.99 | $7,439.00 | |
Medcost
| Facility | $226.83 | $342.09 | $500.85 | |
United
| Facility | $1,172.00 | $4,086.00 | $7,778.00 | |
Wellcare
| Facility | $55.00 | $1,569.89 | $1,897.49 |