| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $229.40 | $364.23 | $7,439.00 | |
Medcost
| Facility | $229.40 | $324.20 | $600.00 | |
United
| Facility | $1,172.00 | $4,086.00 | $7,778.00 | |
Wellcare
| Facility | $55.00 | $550.52 | $1,300.00 |