| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $290.73 | $1,350.00 | $7,362.00 | |
Medcost
| Facility | $274.08 | $411.49 | $607.63 | |
United
| Facility | $361.00 | $896.00 | $2,229.00 | |
Wellcare
| Facility | $55.00 | $656.36 | $1,343.92 |