| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $859.24 | $1,369.68 | $8,413.00 | |
Medcost
| Facility | $856.00 | $1,049.04 | $2,261.59 | |
United
| Facility | $2,353.00 | $6,885.00 | $9,616.00 | |
Wellcare
| Facility | $5,918.22 | $7,048.51 | $26,542.00 |