| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,615.00 | $2,694.85 | $7,439.00 | |
Medcost
| Facility | $1,773.28 | $2,638.31 | $3,914.84 | |
United
| Facility | $1,172.00 | $4,086.00 | $7,778.00 | |
Wellcare
| Facility | $55.00 | $36,927.87 | $44,572.92 |