| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $557.13 | $846.05 | $7,968.00 | |
Medcost
| Facility | $530.52 | $722.92 | $1,346.60 | |
United
| Facility | $1,172.00 | $4,086.00 | $7,895.00 | |
Wellcare
| Facility | $55.00 | $6,024.59 | $7,157.81 |