| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,195.96 | $1,615.00 | $7,439.00 | |
Medcost
| Facility | $1,195.96 | $1,674.46 | $2,950.41 | |
United
| Facility | $1,172.00 | $4,086.00 | $7,778.00 | |
Wellcare
| Facility | $55.00 | $10,005.57 | $12,019.68 |