| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $309.03 | $1,659.59 | $15,135.61 | |
Medcost
| Facility | $125.89 | $281.84 | $575.44 | |
United
| Facility | $1,174.90 | $3,890.45 | $6,918.31 | |
Wellcare
| Facility | $56.23 | $1,288.25 | $1,288.25 |