| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,615.00 | $3,070.24 | $7,439.00 | |
Medcost
| Facility | $3,070.24 | $3,914.74 | $8,093.25 | |
United
| Facility | $1,172.00 | $4,086.00 | $7,778.00 | |
Wellcare
| Facility | $55.00 | $36,034.56 | $42,573.36 |