| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $415.87 | $655.58 | $7,439.00 | |
Medcost
| Facility | $392.96 | $597.00 | $869.17 | |
United
| Facility | $1,172.00 | $4,086.00 | $7,778.00 | |
Wellcare
| Facility | $55.00 | $4,258.64 | $5,142.60 |