| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,615.00 | $2,129.59 | $7,439.00 | |
Medcost
| Facility | $2,129.59 | $3,140.80 | $5,624.25 | |
United
| Facility | $1,172.00 | $4,086.00 | $7,778.00 | |
Wellcare
| Facility | $55.00 | $24,989.52 | $29,575.92 |