| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,023.85 | $1,610.64 | $10,561.00 | |
Medcost
| Facility | $1,023.85 | $1,271.82 | $1,705.90 | |
United
| Facility | $1,728.00 | $3,733.00 | $6,543.00 | |
Wellcare
| Facility | $6,385.82 | $7,857.50 | $26,542.00 |