| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,615.00 | $3,089.12 | $7,439.00 | |
Medcost
| Facility | $3,089.12 | $3,878.04 | $8,145.91 | |
United
| Facility | $1,172.00 | $4,086.00 | $7,778.00 | |
Wellcare
| Facility | $55.00 | $35,657.04 | $42,509.40 |