| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,335.58 | $1,615.00 | $7,439.00 | |
Medcost
| Facility | $1,335.58 | $1,818.80 | $3,222.04 | |
United
| Facility | $5,293.00 | $12,216.00 | $19,066.00 | |
Wellcare
| Facility | $11,933.00 | $20,162.40 | $24,373.28 |