| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,047.13 | $3,890.45 | $8,317.64 | |
Medcost
| Facility | $660.69 | $870.96 | $1,621.81 | |
United
| Facility | $2,511.89 | $7,244.36 | $10,471.29 | |
Wellcare
| Facility | $11,748.98 | $11,748.98 | $45,708.82 |