| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,126.74 | $1,807.25 | $8,413.00 | |
Medcost
| Facility | $1,126.74 | $1,476.38 | $2,820.43 | |
United
| Facility | $1,172.00 | $4,086.00 | $7,778.00 | |
Wellcare
| Facility | $5,897.00 | $6,347.88 | $7,812.84 |