| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $283.00 | $564.03 | $10,561.00 | |
Medcost
| Facility | $279.79 | $349.00 | $943.00 | |
United
| Facility | $361.00 | $896.00 | $2,229.00 | |
Wellcare
| Facility | $749.81 | $2,100.85 | $26,542.00 |