| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,286.41 | $1,615.00 | $7,439.00 | |
Medcost
| Facility | $1,280.43 | $1,847.75 | $2,660.09 | |
United
| Facility | $1,172.00 | $4,086.00 | $7,778.00 | |
Wellcare
| Facility | $55.00 | $14,027.31 | $16,802.83 |