| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,615.00 | $2,191.40 | $7,439.00 | |
Medcost
| Facility | $1,924.18 | $2,789.05 | $4,491.02 | |
United
| Facility | $1,172.00 | $4,086.00 | $7,778.00 | |
Wellcare
| Facility | $55.00 | $28,754.56 | $34,467.19 |