| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,233.85 | $8,002.00 | $10,034.00 | |
Medcost
| Facility | $495.98 | $687.15 | $1,265.64 | |
United
| Facility | $2,687.22 | $9,447.00 | $14,589.00 | |
Wellcare
| Facility | $2,360.90 | $9,558.29 | $26,542.00 |