| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $143.69 | $229.89 | $7,439.00 | |
Medcost
| Facility | $143.69 | $205.86 | $353.18 | |
United
| Facility | $1,172.00 | $4,086.00 | $7,778.00 | |
Wellcare
| Facility | $55.00 | $337.58 | $1,300.00 |