| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $27.58 | $1,615.00 | $7,593.00 | |
Aetna
| Professional | $27.58 | $27.58 | $35.18 | |
Medcost
| Facility | $27.58 | $29.23 | $35.18 | |
United
| Facility | $361.00 | $896.00 | $2,229.00 | |
Wellcare
| Facility | $100.00 | $100.00 | $100.00 |