| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,438.77 | $5,993.00 | $10,087.00 | |
Medcost
| Facility | $1,438.77 | $2,011.19 | $3,270.97 | |
United
| Facility | $5,293.00 | $12,216.00 | $19,066.00 | |
Wellcare
| Facility | $7,936.74 | $16,547.20 | $26,542.00 |