| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,659.59 | $7,943.28 | $12,302.69 | |
Medcost
| Facility | $758.58 | $977.24 | $1,513.56 | |
United
| Facility | $5,370.32 | $15,135.61 | $22,908.68 | |
Wellcare
| Facility | $10,232.93 | $16,218.10 | $16,218.10 |