| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,245.00 | $5,876.00 | $6,735.00 | |
Medcost
| Facility | $920.98 | $1,205.00 | $2,313.07 | |
United
| Facility | $6,688.00 | $15,545.00 | $22,780.00 | |
Wellcare
| Facility | $5,897.00 | $6,119.54 | $16,223.75 |