| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.57 | $1,321.71 | $6,953.60 | |
Medcost
| Facility | $1,183.21 | $1,648.29 | $2,990.10 | |
United
| Facility | $1,172.00 | $4,086.00 | $7,778.00 | |
Wellcare
| Facility | $55.00 | $7,819.28 | $9,652.58 |