| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,442.52 | $1,615.00 | $7,439.00 | |
Medcost
| Facility | $1,540.48 | $1,893.17 | $4,037.14 | |
United
| Facility | $1,728.00 | $3,733.00 | $6,543.00 | |
Wellcare
| Facility | $55.00 | $18,151.91 | $21,488.52 |