| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,202.26 | $3,630.78 | $7,762.47 | |
Medcost
| Facility | $954.99 | $1,318.26 | $2,041.74 | |
United
| Facility | $3,548.13 | $9,549.93 | $14,454.40 | |
Wellcare
| Facility | $14,454.40 | $14,454.40 | $28,840.32 |