| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,231.22 | $1,615.00 | $7,439.00 | |
Medcost
| Facility | $1,231.22 | $1,715.71 | $3,132.94 | |
United
| Facility | $1,172.00 | $4,086.00 | $7,778.00 | |
Wellcare
| Facility | $55.00 | $8,104.25 | $10,015.60 |