| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,286.92 | $1,615.00 | $7,439.00 | |
Medcost
| Facility | $1,286.92 | $1,706.07 | $3,059.87 | |
United
| Facility | $3,500.00 | $8,984.00 | $13,997.00 | |
Wellcare
| Facility | $55.00 | $19,488.64 | $23,560.00 |