| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,101.20 | $1,615.00 | $7,439.00 | |
Medcost
| Facility | $1,101.20 | $1,858.11 | $2,388.75 | |
United
| Facility | $1,172.00 | $4,086.00 | $7,778.00 | |
Wellcare
| Facility | $55.00 | $7,021.63 | $8,413.79 |