| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $442.22 | $2,221.66 | $5,449.00 | |
Medcost
| Facility | $328.69 | $758.84 | $2,712.78 | |
United
| Facility | $361.00 | $896.00 | $2,229.00 | |
Wellcare
| Facility | $55.00 | $2,896.00 | $2,896.00 |