| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $252.17 | $1,615.00 | $7,186.00 | |
Aetna
| Facility | 50 | $0.27 | $0.57 | $0.57 |
Medcost
| Facility | $243.41 | $330.00 | $862.00 | |
Medcost
| Facility | 50 | $346.50 | $495.00 | $1,300.09 |
United
| Facility | $361.00 | $896.00 | $2,229.00 | |
Wellcare
| Facility | $523.25 | $2,538.00 | $26,542.00 |