| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $508.12 | $800.19 | $7,439.00 | |
Medcost
| Facility | $480.69 | $724.37 | $1,061.97 | |
United
| Facility | $1,172.00 | $4,086.00 | $7,778.00 | |
Wellcare
| Facility | $55.00 | $7,639.20 | $9,193.60 |