| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,615.00 | $3,177.17 | $7,439.00 | |
Medcost
| Facility | $2,940.00 | $3,753.26 | $7,836.87 | |
United
| Facility | $1,172.00 | $4,086.00 | $7,778.00 | |
Wellcare
| Facility | $55.00 | $62,942.46 | $75,806.42 |