| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,210.53 | $1,615.00 | $7,439.00 | |
Medcost
| Facility | $1,167.44 | $1,457.87 | $3,075.85 | |
United
| Facility | $9,324.00 | $20,568.00 | $28,898.00 | |
Wellcare
| Facility | $55.00 | $8,587.44 | $10,546.48 |