| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,456.21 | $2,436.17 | $12,615.00 | |
Medcost
| Facility | $1,654.24 | $1,921.00 | $2,563.35 | |
United
| Facility | $3,366.00 | $9,541.00 | $14,589.00 | |
Wellcare
| Facility | $9,370.56 | $11,716.14 | $26,542.00 |