| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,165.98 | $4,281.32 | $8,861.45 | |
Medcost
| Facility | $1,122.32 | $1,479.63 | $2,947.37 | |
United
| Facility | $10,829.00 | $22,655.00 | $29,047.00 | |
Wellcare
| Facility | $55.00 | $8,821.52 | $10,849.52 |