| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,890.45 | $6,025.60 | $12,589.25 | |
Aetna
| Professional | $831.76 | $1,659.59 | $3,090.30 | |
United
| Facility | $4,466.84 | $12,302.69 | $19,054.61 | |
Wellcare
| Facility | $10,232.93 | $10,232.93 | $10,232.93 |