| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $226.72 | $1,245.00 | $10,561.00 | |
Medcost
| Facility | $187.10 | $282.00 | $785.89 | |
United
| Facility | $361.00 | $896.00 | $2,229.00 | |
Wellcare
| Facility | $320.18 | $2,162.25 | $26,542.00 |