| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $83.10 | $1,236.26 | $4,311.00 | |
Medcost
| Facility | $59.70 | $308.49 | $559.61 | |
United
| Facility | $905.00 | $2,417.00 | $4,102.00 | |
Wellcare
| Facility | $513.74 | $513.74 | $12,000.00 |