| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,615.00 | $3,001.88 | $7,439.00 | |
Medcost
| Facility | $3,001.88 | $3,860.05 | $7,580.59 | |
United
| Facility | $1,172.00 | $4,086.00 | $7,778.00 | |
Wellcare
| Facility | $55.00 | $34,292.76 | $41,760.83 |