| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,006.95 | $8,718.00 | $14,615.26 | |
Medcost
| Facility | $1,287.76 | $1,675.09 | $2,695.15 | |
United
| Facility | $6,688.00 | $15,545.00 | $22,780.00 | |
Wellcare
| Facility | $8,437.17 | $12,650.00 | $27,770.10 |