| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $846.23 | $1,319.52 | $7,439.00 | |
Medcost
| Facility | $846.23 | $1,085.15 | $2,124.56 | |
United
| Facility | $1,172.00 | $4,086.00 | $7,778.00 | |
Wellcare
| Facility | $55.00 | $6,408.88 | $7,751.20 |