| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,584.61 | $2,474.32 | $10,561.00 | |
Medcost
| Facility | $1,519.00 | $1,980.76 | $2,637.45 | |
United
| Facility | $2,526.00 | $7,659.00 | $10,502.00 | |
Wellcare
| Facility | $10,418.37 | $12,762.82 | $26,542.00 |