| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,245.00 | $1,615.00 | $7,439.00 | |
Medcost
| Facility | $1,254.06 | $1,605.97 | $3,318.65 | |
United
| Facility | $1,172.00 | $4,086.00 | $7,778.00 | |
Wellcare
| Facility | $55.00 | $14,670.96 | $17,569.32 |