| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,272.84 | $1,979.23 | $12,615.00 | |
Medcost
| Facility | $1,253.00 | $1,485.15 | $3,250.50 | |
United
| Facility | $1,708.00 | $4,086.00 | $6,543.00 | |
Wellcare
| Facility | $55.00 | $10,008.00 | $11,954.96 |