| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $235.02 | $359.78 | $7,968.00 | |
Medcost
| Facility | $232.93 | $307.01 | $574.86 | |
United
| Facility | $1,064.00 | $3,906.00 | $6,388.00 | |
Wellcare
| Facility | $55.00 | $593.75 | $1,172.68 |