| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,905.46 | $3,162.28 | $8,709.64 | |
Medcost
| Facility | $1,659.59 | $2,187.76 | $3,715.35 | |
United
| Facility | $1,174.90 | $3,890.45 | $6,918.31 | |
Wellcare
| Facility | $56.23 | $35,481.34 | $35,481.34 |