| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,615.00 | $2,764.67 | $7,439.00 | |
Medcost
| Facility | $2,531.38 | $3,554.77 | $6,081.30 | |
United
| Facility | $1,172.00 | $4,086.00 | $7,778.00 | |
Wellcare
| Facility | $55.00 | $37,742.87 | $45,266.56 |