| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $602.56 | $8,709.64 | $42,657.95 | |
Medcost
| Facility | $398.11 | $478.63 | $831.76 | |
United
| Facility | $20,892.96 | $44,668.36 | $91,201.08 | |
Wellcare
| Facility | $27,542.29 | $141,253.75 | $141,253.75 |