| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,047.13 | $1,778.28 | $8,128.31 | |
Medcost
| Facility | $616.60 | $1,000.00 | $1,513.56 | |
United
| Facility | $2,691.53 | $9,549.93 | $14,454.40 | |
Wellcare
| Facility | $56.23 | $9,332.54 | $9,332.54 |