| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $75.67 | $1,245.00 | $7,362.00 | |
Medcost
| Facility | $75.67 | $120.66 | $171.29 | |
United
| Facility | $361.00 | $896.00 | $2,229.00 | |
Wellcare
| Facility | $175.32 | $882.00 | $12,000.00 |