| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,615.00 | $3,980.84 | $7,439.00 | |
Medcost
| Facility | $1,738.00 | $4,766.04 | $7,867.41 | |
United
| Facility | $1,172.00 | $4,086.00 | $7,778.00 | |
Wellcare
| Facility | $55.00 | $78,205.25 | $94,174.08 |