| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,245.00 | $2,276.35 | $7,439.00 | |
Medcost
| Facility | $1,436.48 | $1,801.56 | $3,616.96 | |
United
| Facility | $2,526.00 | $7,659.00 | $10,502.00 | |
Wellcare
| Facility | $55.00 | $10,796.16 | $13,265.68 |