| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $211.07 | $350.98 | $7,439.00 | |
Medcost
| Facility | $198.32 | $316.81 | $441.27 | |
United
| Facility | $1,172.00 | $4,086.00 | $7,778.00 | |
Wellcare
| Facility | $55.00 | $1,321.74 | $1,634.15 |