| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,352.65 | $1,615.00 | $7,439.00 | |
Medcost
| Facility | $1,352.65 | $1,893.71 | $3,314.85 | |
United
| Facility | $1,172.00 | $4,086.00 | $7,778.00 | |
Wellcare
| Facility | $55.00 | $20,268.32 | $24,331.84 |