| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $523.63 | $804.00 | $6,953.60 | |
Medcost
| Facility | $462.00 | $633.23 | $1,211.68 | |
United
| Facility | $905.00 | $2,417.00 | $4,102.00 | |
Wellcare
| Facility | $55.00 | $5,255.47 | $7,984.00 |