| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,271.95 | $1,615.00 | $7,439.00 | |
Medcost
| Facility | $1,411.01 | $1,693.21 | $3,560.79 | |
United
| Facility | $10,829.00 | $22,655.00 | $29,047.00 | |
Wellcare
| Facility | $55.00 | $10,646.32 | $13,106.40 |