| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $225.67 | $1,245.00 | $8,413.00 | |
Medcost
| Facility | $213.54 | $333.20 | $471.65 | |
United
| Facility | $905.00 | $2,193.00 | $3,517.00 | |
Wellcare
| Facility | $55.00 | $1,460.62 | $7,984.00 |