| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,511.89 | $4,073.80 | $9,772.37 | |
Medcost
| Facility | $2,454.71 | $3,162.28 | $5,248.07 | |
United
| Facility | $1,174.90 | $3,890.45 | $6,918.31 | |
Wellcare
| Facility | $56.23 | $31,622.78 | $31,622.78 |