| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,245.00 | $2,045.53 | $10,561.00 | |
Medcost
| Facility | $1,315.15 | $1,680.41 | $3,317.63 | |
United
| Facility | $2,526.00 | $7,659.00 | $10,502.00 | |
Wellcare
| Facility | $55.00 | $8,728.44 | $16,308.40 |