| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $529.64 | $5,150.70 | $9,180.50 | |
Medcost
| Facility | $352.40 | $535.16 | $754.63 | |
Medcost
| Facility | 50 | $707.79 | $885.75 | $1,333.02 |
United
| Facility | $2,353.00 | $6,885.00 | $9,616.00 | |
Wellcare
| Facility | $2,316.65 | $9,133.70 | $26,542.00 |