| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,600.03 | $1,788.13 | $7,439.00 | |
Medcost
| Facility | $1,516.84 | $2,275.80 | $3,344.06 | |
United
| Facility | $1,172.00 | $4,086.00 | $7,778.00 | |
Wellcare
| Facility | $55.00 | $24,117.92 | $29,034.40 |