| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $179.07 | $352.53 | $6,953.60 | |
Medcost
| Facility | $114.98 | $233.02 | $386.06 | |
United
| Facility | $361.00 | $896.00 | $2,229.00 | |
Wellcare
| Facility | $783.12 | $783.12 | $16,394.00 |