| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,442.48 | $12,247.00 | $45,769.48 | |
Medcost
| Facility | $847.04 | $1,433.00 | $2,345.00 | |
United
| Facility | $19,080.00 | $38,950.00 | $90,653.00 | |
Wellcare
| Facility | $6,646.48 | $43,926.00 | $141,371.25 |