| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,615.00 | $2,944.67 | $7,439.00 | |
Medcost
| Facility | $2,602.00 | $3,519.20 | $7,230.37 | |
United
| Facility | $1,172.00 | $4,086.00 | $7,778.00 | |
Wellcare
| Facility | $55.00 | $34,186.08 | $41,057.51 |