| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,122.02 | $1,778.28 | $8,709.64 | |
Medcost
| Facility | $1,122.02 | $1,445.44 | $2,290.87 | |
United
| Facility | $3,548.13 | $10,232.93 | $14,454.40 | |
Wellcare
| Facility | $56.23 | $9,120.11 | $9,120.11 |