| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $333.63 | $528.91 | $6,953.60 | |
Medcost
| Facility | $315.70 | $475.36 | $697.29 | |
United
| Facility | $1,172.00 | $4,086.00 | $7,778.00 | |
Wellcare
| Facility | $55.00 | $759.71 | $1,583.94 |