| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $537.03 | $1,659.59 | $8,317.64 | |
Medcost
| Facility | $371.54 | $1,122.02 | $2,344.23 | |
United
| Facility | $5,370.32 | $14,791.08 | $22,387.21 | |
Wellcare
| Facility | $19,054.61 | $19,054.61 | $45,708.82 |