| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $173.78 | $354.81 | $6,760.83 | |
Medcost
| Professional | $371.54 | $371.54 | $457.09 | |
Medcost
| Facility | $114.82 | $204.17 | $380.19 | |
United
| Facility | $302.00 | $758.58 | $1,949.84 | |
Wellcare
| Facility | $6,456.54 | $6,456.54 | $28,840.32 |