| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $281.77 | $903.00 | $6,953.60 | |
Medcost
| Facility | $236.91 | $326.52 | $716.20 | |
United
| Facility | $361.00 | $896.00 | $2,229.00 | |
Wellcare
| Facility | $55.00 | $2,133.94 | $2,591.40 |