| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,165.16 | $1,770.88 | $10,561.00 | |
Medcost
| Facility | $1,119.00 | $1,431.29 | $1,968.00 | |
United
| Facility | $3,366.00 | $9,541.00 | $14,589.00 | |
Wellcare
| Facility | $7,570.57 | $11,102.00 | $26,542.00 |