| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $463.91 | $732.02 | $7,439.00 | |
Medcost
| Facility | $436.60 | $666.93 | $969.57 | |
United
| Facility | $1,172.00 | $4,086.00 | $7,778.00 | |
Wellcare
| Facility | $55.00 | $4,764.21 | $5,735.40 |