| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,124.28 | $2,564.78 | $16,059.00 | |
Medcost
| Facility | $1,069.32 | $1,557.54 | $2,349.75 | |
United
| Facility | $1,064.00 | $3,906.00 | $6,388.00 | |
Wellcare
| Facility | $55.00 | $7,390.11 | $8,884.33 |