| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,140.28 | $1,806.89 | $33,657.55 | |
Medcost
| Facility | $1,140.28 | $1,961.89 | $3,005.01 | |
United
| Facility | $1,172.00 | $4,086.00 | $7,778.00 | |
Wellcare
| Facility | $55.00 | $8,580.71 | $10,625.12 |