| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $251.19 | $3,801.89 | $7,585.78 | |
Medcost
| Facility | $151.36 | $724.44 | $1,258.93 | |
United
| Facility | $1,995.26 | $7,244.36 | $10,471.29 | |
Wellcare
| Facility | $56.23 | $56.23 | $5,754.40 |