| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $108.56 | $281.45 | $5,449.00 | |
Medcost
| Facility | $108.56 | $238.00 | $406.14 | |
United
| Facility | $361.00 | $896.00 | $2,229.00 | |
Wellcare
| Facility | $887.74 | $887.74 | $12,000.00 |