| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,615.00 | $3,654.50 | $7,439.00 | |
Medcost
| Facility | $3,208.00 | $4,658.78 | $8,212.71 | |
United
| Facility | $1,172.00 | $4,086.00 | $7,778.00 | |
Wellcare
| Facility | $55.00 | $52,513.44 | $63,099.68 |