| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,615.00 | $2,810.79 | $7,439.00 | |
Medcost
| Facility | $2,810.79 | $3,515.00 | $7,360.75 | |
United
| Facility | $1,172.00 | $4,086.00 | $7,778.00 | |
Wellcare
| Facility | $55.00 | $32,478.48 | $38,773.92 |