| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,615.00 | $11,609.00 | $18,433.09 | |
Medcost
| Facility | $1,119.16 | $1,699.81 | $3,253.56 | |
United
| Facility | $10,829.00 | $22,655.00 | $29,047.00 | |
Wellcare
| Facility | $55.00 | $11,963.05 | $14,241.37 |