| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,659.59 | $4,677.35 | $11,481.54 | |
Medcost
| Facility | $1,174.90 | $1,548.82 | $2,344.23 | |
United
| Facility | $1,698.24 | $4,168.69 | $6,918.31 | |
Wellcare
| Facility | $56.23 | $12,022.64 | $12,022.64 |