| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,071.52 | $8,128.31 | $11,220.18 | |
Medcost
| Facility | $426.58 | $3,715.35 | $7,585.78 | |
United
| Facility | $6,760.83 | $15,135.61 | $22,908.68 | |
Wellcare
| Facility | $56.23 | $39,810.72 | $39,810.72 |