| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,083.44 | $1,673.93 | $6,953.60 | |
Medcost
| Facility | $1,083.44 | $1,596.00 | $2,741.44 | |
United
| Facility | $2,526.00 | $7,659.00 | $10,502.00 | |
Wellcare
| Facility | $55.00 | $7,179.83 | $8,842.54 |