| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $793.26 | $1,293.42 | $8,413.00 | |
Medcost
| Facility | $757.47 | $1,147.31 | $1,657.91 | |
United
| Facility | $1,172.00 | $4,086.00 | $7,778.00 | |
Wellcare
| Facility | $55.00 | $6,804.27 | $8,207.45 |