| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,479.11 | $6,918.31 | $12,022.64 | |
Medcost
| Facility | $977.24 | $1,318.26 | $2,089.30 | |
United
| Facility | $3,548.13 | $9,549.93 | $14,454.40 | |
Wellcare
| Facility | $56.23 | $10,964.78 | $10,964.78 |