| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,457.00 | $2,338.21 | $3,262.11 | |
Medcost
| Facility | $1,904.00 | $2,501.30 | $5,378.34 | |
United
| Facility | $1,172.00 | $4,086.00 | $7,778.00 | |
Wellcare
| Facility | $55.00 | $13,505.64 | $16,306.62 |