| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $176.86 | $3,181.00 | $6,953.60 | |
Medcost
| Facility | $167.98 | $245.13 | $437.85 | |
United
| Facility | $361.00 | $896.00 | $2,229.00 | |
Wellcare
| Facility | $55.00 | $445.73 | $1,300.00 |