| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,023.29 | $2,818.38 | $8,709.64 | |
Medcost
| Facility | $812.83 | $977.24 | $1,479.11 | |
United
| Facility | $2,884.03 | $9,549.93 | $14,454.40 | |
Wellcare
| Facility | $8,912.51 | $8,912.51 | $45,708.82 |