| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,134.66 | $1,615.00 | $7,439.00 | |
Medcost
| Facility | $1,134.66 | $1,432.38 | $2,851.63 | |
United
| Facility | $3,366.00 | $9,541.00 | $14,589.00 | |
Wellcare
| Facility | $55.00 | $7,476.98 | $9,191.98 |