| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,584.89 | $3,890.45 | $11,481.54 | |
Medcost
| Facility | $1,000.00 | $1,348.96 | $2,137.96 | |
United
| Facility | $363.08 | $831.76 | $2,454.71 | |
Wellcare
| Facility | $56.23 | $89,125.09 | $89,125.09 |