| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $97.66 | $178.36 | $7,278.00 | |
Medcost
| Facility | $97.66 | $152.00 | $210.16 | |
United
| Facility | $905.00 | $2,417.00 | $4,102.00 | |
Wellcare
| Facility | $700.50 | $700.50 | $16,394.00 |