| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,615.00 | $1,983.53 | $7,439.00 | |
Medcost
| Facility | $1,793.81 | $2,531.34 | $4,409.17 | |
United
| Facility | $1,172.00 | $4,086.00 | $7,778.00 | |
Wellcare
| Facility | $55.00 | $26,854.24 | $32,211.20 |