| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,698.24 | $6,025.60 | $11,481.54 | |
Medcost
| Facility | $1,698.24 | $2,041.74 | $3,162.28 | |
United
| Facility | $2,884.03 | $9,549.93 | $14,454.40 | |
Wellcare
| Facility | $11,748.98 | $11,748.98 | $42,657.95 |