| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,363.22 | $8,801.00 | $16,945.97 | |
Medcost
| Facility | $895.42 | $1,467.52 | $2,078.89 | |
United
| Facility | $6,688.00 | $14,893.00 | $22,780.00 | |
Wellcare
| Facility | $5,869.15 | $12,650.00 | $27,770.10 |