| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $275.61 | $438.89 | $7,439.00 | |
Medcost
| Facility | $260.58 | $397.25 | $576.02 | |
United
| Facility | $1,172.00 | $4,086.00 | $7,778.00 | |
Wellcare
| Facility | $55.00 | $2,840.20 | $3,414.62 |