| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $77.62 | $5,754.40 | $7,413.10 | |
Medcost
| Facility | $45.71 | $79.43 | $234.42 | |
United
| Facility | $363.08 | $812.83 | $1,949.84 | |
Wellcare
| Facility | $5,248.07 | $5,248.07 | $5,248.07 |