| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $150.31 | $938.46 | $5,295.06 | |
Medcost
| Facility | $93.12 | $152.00 | $271.00 | |
United
| Facility | $905.00 | $2,417.00 | $4,102.00 | |
Wellcare
| Facility | $596.75 | $3,499.00 | $12,000.00 |