| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,146.43 | $1,735.82 | $8,413.00 | |
Medcost
| Facility | $1,093.74 | $1,382.27 | $1,927.00 | |
United
| Facility | $1,728.00 | $3,733.00 | $6,543.00 | |
Wellcare
| Facility | $6,499.62 | $7,966.02 | $26,542.00 |