| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $985.01 | $1,654.81 | $9,653.00 | |
Medcost
| Facility | $840.00 | $1,122.79 | $1,544.95 | |
United
| Facility | $3,366.00 | $9,541.00 | $14,589.00 | |
Wellcare
| Facility | $5,681.16 | $11,102.00 | $16,394.00 |