| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $448.64 | $990.17 | $7,439.00 | |
Medcost
| Facility | $448.64 | $614.26 | $1,053.59 | |
United
| Facility | $1,172.00 | $4,086.00 | $7,778.00 | |
Wellcare
| Facility | $55.00 | $2,954.91 | $3,549.77 |