| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $609.94 | $12,259.57 | $39,075.28 | |
Medcost
| Facility | $359.31 | $507.36 | $793.84 | |
United
| Facility | $22,810.00 | $44,645.00 | $93,339.00 | |
Wellcare
| Facility | $2,827.68 | $27,265.00 | $106,949.70 |