| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,545.27 | $1,619.42 | $7,439.00 | |
Medcost
| Facility | $1,619.42 | $2,198.00 | $4,081.59 | |
United
| Facility | $1,172.00 | $4,086.00 | $7,778.00 | |
Wellcare
| Facility | $55.00 | $13,723.47 | $16,854.84 |