| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,615.00 | $2,045.30 | $7,439.00 | |
Medcost
| Facility | $1,741.85 | $2,617.50 | $4,465.25 | |
United
| Facility | $1,172.00 | $4,086.00 | $7,778.00 | |
Wellcare
| Facility | $55.00 | $27,832.32 | $33,365.92 |