| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,615.00 | $2,020.43 | $7,439.00 | |
Medcost
| Facility | $1,739.00 | $2,549.02 | $4,834.92 | |
United
| Facility | $1,172.00 | $4,086.00 | $7,778.00 | |
Wellcare
| Facility | $55.00 | $13,223.14 | $16,357.32 |