| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $900.40 | $21,619.80 | $49,380.23 | |
Medcost
| Facility | $521.36 | $809.20 | $1,150.55 | |
United
| Facility | $22,810.00 | $44,645.00 | $93,339.00 | |
Wellcare
| Facility | $55.00 | $4,088.00 | $144,343.29 |