| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,238.57 | $8,432.00 | $13,315.00 | |
Medcost
| Facility | $444.02 | $4,234.67 | $8,240.58 | |
United
| Facility | $6,688.00 | $15,545.00 | $22,780.00 | |
Wellcare
| Facility | $55.00 | $6,489.18 | $6,489.18 |