| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $233.04 | $368.69 | $7,439.00 | |
Medcost
| Facility | $220.88 | $340.28 | $462.77 | |
United
| Facility | $1,172.00 | $4,086.00 | $7,778.00 | |
Wellcare
| Facility | $55.00 | $537.82 | $1,116.77 |