| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $131.61 | $310.58 | $8,413.00 | |
Medcost
| Facility | $131.61 | $238.14 | $383.94 | |
United
| Facility | $361.00 | $896.00 | $2,229.00 | |
Wellcare
| Facility | $641.73 | $641.73 | $26,542.00 |