| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $188.65 | $1,181.00 | $7,439.00 | |
Medcost
| Facility | $188.65 | $240.15 | $363.05 | |
United
| Facility | $361.00 | $896.00 | $2,229.00 | |
Wellcare
| Facility | $55.00 | $1,079.94 | $2,000.00 |