| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $982.81 | $1,525.89 | $7,439.00 | |
Medcost
| Facility | $982.81 | $1,290.52 | $2,456.69 | |
United
| Facility | $1,172.00 | $4,086.00 | $7,778.00 | |
Wellcare
| Facility | $55.00 | $12,196.60 | $14,767.87 |