| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $138.94 | $689.00 | $6,953.60 | |
Medcost
| Facility | $138.94 | $255.39 | $505.46 | |
United
| Facility | $361.00 | $896.00 | $2,229.00 | |
Wellcare
| Facility | $900.55 | $2,000.00 | $12,000.00 |