| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,049.09 | $1,746.58 | $8,413.00 | |
Medcost
| Facility | $992.43 | $1,545.78 | $2,192.62 | |
United
| Facility | $1,172.00 | $4,086.00 | $7,778.00 | |
Wellcare
| Facility | $55.00 | $8,869.77 | $10,664.28 |