| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $73.63 | $1,245.00 | $7,237.40 | |
Medcost
| Facility | $65.25 | $214.17 | $504.76 | |
United
| Facility | $905.00 | $2,193.00 | $3,348.00 | |
Wellcare
| Facility | $362.20 | $362.20 | $12,000.00 |