| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,245.00 | $10,544.00 | $18,135.22 | |
Medcost
| Facility | $982.30 | $1,587.76 | $2,360.16 | |
United
| Facility | $6,688.00 | $15,545.00 | $22,780.00 | |
Wellcare
| Facility | $5,897.00 | $6,750.87 | $27,770.10 |