| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $162.18 | $645.65 | $8,709.64 | |
Medcost
| Facility | $158.49 | $194.98 | $323.59 | |
United
| Facility | $1,174.90 | $3,890.45 | $6,918.31 | |
Wellcare
| Facility | $56.23 | $1,995.26 | $1,995.26 |