| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,122.02 | $1,778.28 | $8,709.64 | |
Medcost
| Facility | $707.95 | $977.24 | $1,513.56 | |
United
| Facility | $2,691.53 | $9,549.93 | $14,454.40 | |
Wellcare
| Facility | $9,332.54 | $9,332.54 | $45,708.82 |