| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $922.28 | $1,372.22 | $7,439.00 | |
Medcost
| Facility | $876.77 | $1,222.05 | $2,291.40 | |
United
| Facility | $1,172.00 | $4,086.00 | $7,778.00 | |
Wellcare
| Facility | $11,933.00 | $13,916.16 | $16,889.91 |