| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $301.51 | $476.82 | $7,169.76 | |
Medcost
| Facility | $301.51 | $481.06 | $875.50 | |
United
| Facility | $1,172.00 | $4,086.00 | $7,778.00 | |
Wellcare
| Facility | $55.00 | $2,946.70 | $3,460.90 |