| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $524.81 | $6,760.83 | $8,709.64 | |
Medcost
| Facility | $331.13 | $549.54 | $933.25 | |
United
| Facility | $8,912.51 | $21,877.62 | $39,810.72 | |
Wellcare
| Facility | $42,657.95 | $42,657.95 | $45,708.82 |