| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,176.29 | $1,615.00 | $6,953.60 | |
Medcost
| Facility | $1,176.29 | $1,443.67 | $3,102.70 | |
United
| Facility | $1,172.00 | $4,086.00 | $7,778.00 | |
Wellcare
| Facility | $55.00 | $12,771.11 | $15,191.99 |