| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,615.00 | $2,730.89 | $7,439.00 | |
Medcost
| Facility | $1,725.74 | $4,070.00 | $6,100.32 | |
United
| Facility | $1,172.00 | $4,086.00 | $7,778.00 | |
Wellcare
| Facility | $55.00 | $25,900.48 | $31,203.84 |