| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,062.36 | $7,186.85 | $10,453.00 | |
Medcost
| Facility | $1,030.14 | $1,259.00 | $1,724.00 | |
United
| Facility | $2,526.00 | $7,659.00 | $10,502.00 | |
Wellcare
| Facility | $5,981.40 | $14,907.95 | $26,542.00 |