| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,615.00 | $2,583.29 | $7,439.00 | |
Medcost
| Facility | $2,293.65 | $3,224.97 | $5,793.08 | |
United
| Facility | $1,172.00 | $4,086.00 | $7,778.00 | |
Wellcare
| Facility | $55.00 | $19,431.81 | $24,010.92 |