| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,110.51 | $1,823.14 | $10,561.00 | |
Medcost
| Facility | $1,110.51 | $1,854.26 | $2,348.76 | |
United
| Facility | $4,116.20 | $14,174.00 | $22,265.00 | |
Wellcare
| Facility | $55.00 | $7,270.90 | $13,856.55 |