| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,410.00 | $2,112.04 | $12,615.00 | |
Medcost
| Facility | $1,433.67 | $1,530.00 | $2,171.61 | |
United
| Facility | $3,366.00 | $9,541.00 | $14,589.00 | |
Wellcare
| Facility | $8,234.58 | $10,305.29 | $26,542.00 |