| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $109.26 | $276.23 | $7,968.00 | |
Medcost
| Facility | $109.26 | $202.85 | $295.06 | |
United
| Facility | $361.00 | $896.00 | $2,229.00 | |
Wellcare
| Facility | $536.85 | $536.85 | $26,542.00 |