| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $301.83 | $473.91 | $7,439.00 | |
Medcost
| Facility | $285.52 | $430.37 | $630.82 | |
United
| Facility | $1,172.00 | $4,086.00 | $7,778.00 | |
Wellcare
| Facility | $55.00 | $686.77 | $1,430.94 |