| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $261.39 | $1,350.00 | $7,362.00 | |
Medcost
| Facility | $246.77 | $367.72 | $546.30 | |
Medcost
| Facility | AS | $41.95 | $51.48 | $85.73 |
United
| Facility | $361.00 | $896.00 | $2,229.00 | |
Wellcare
| Facility | $55.00 | $592.07 | $1,227.26 | |
Wellcare
| Facility | AS | $59.21 | $63.74 | $122.73 |