| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,615.00 | $2,383.26 | $7,439.00 | |
Medcost
| Facility | $1,479.00 | $2,957.78 | $4,776.78 | |
United
| Facility | $1,172.00 | $4,086.00 | $7,778.00 | |
Wellcare
| Facility | $55.00 | $35,753.60 | $43,082.24 |