| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,615.00 | $2,721.97 | $7,439.00 | |
Medcost
| Facility | $1,826.00 | $3,419.31 | $5,584.81 | |
United
| Facility | $1,172.00 | $4,086.00 | $7,778.00 | |
Wellcare
| Facility | $55.00 | $46,172.52 | $55,639.08 |