| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,086.50 | $1,947.50 | $10,840.21 | |
Medcost
| Facility | $729.67 | $1,120.00 | $1,841.78 | |
United
| Facility | $2,526.00 | $7,659.00 | $10,502.00 | |
Wellcare
| Facility | $55.00 | $4,812.50 | $12,068.20 |