| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $221.35 | $2,997.00 | $6,063.12 | |
Medcost
| Facility | $157.72 | $201.28 | $387.29 | |
United
| Facility | $361.00 | $896.00 | $2,229.00 | |
Wellcare
| Facility | $387.64 | $2,406.73 | $26,542.00 |