| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $142.28 | $2,203.07 | $5,177.00 | |
Medcost
| Facility | $91.82 | $225.37 | $546.79 | |
United
| Facility | $905.00 | $2,417.00 | $4,102.00 | |
Wellcare
| Facility | $432.55 | $3,586.95 | $12,000.00 |