| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $273.23 | $2,586.89 | $7,345.21 | |
Medcost
| Facility | $184.35 | $415.63 | $691.09 | |
United
| Facility | $905.00 | $2,417.00 | $4,102.00 | |
Wellcare
| Facility | $885.54 | $885.54 | $16,394.00 |