| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $286.38 | $1,350.00 | $7,362.00 | |
Medcost
| Facility | $269.45 | $404.31 | $598.53 | |
United
| Facility | $1,172.00 | $4,086.00 | $7,778.00 | |
Wellcare
| Facility | $55.00 | $650.30 | $1,326.34 |