| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $143.21 | $327.45 | $7,278.00 | |
Medcost
| Facility | $143.21 | $254.76 | $435.52 | |
United
| Facility | $361.00 | $896.00 | $2,229.00 | |
Wellcare
| Facility | $973.02 | $973.02 | $16,394.00 |