| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,445.44 | $3,981.07 | $10,471.29 | |
Medcost
| Facility | $1,071.52 | $1,288.25 | $2,089.30 | |
United
| Facility | $1,995.26 | $7,244.36 | $10,471.29 | |
Wellcare
| Facility | $7,413.10 | $7,413.10 | $33,884.42 |