| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,615.00 | $3,193.35 | $7,439.00 | |
Medcost
| Facility | $2,101.40 | $3,126.35 | $4,372.04 | |
United
| Facility | $1,172.00 | $4,086.00 | $7,778.00 | |
Wellcare
| Facility | $55.00 | $43,769.46 | $52,811.64 |