| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $245.76 | $3,819.00 | $7,278.00 | |
Medcost
| Facility | $150.66 | $773.67 | $1,059.45 | |
United
| Facility | $2,353.00 | $6,575.00 | $9,616.00 | |
Wellcare
| Facility | $55.00 | $55.00 | $1,466.84 |