| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,047.13 | $3,467.37 | $8,709.64 | |
Medcost
| Facility | $891.25 | $1,096.48 | $1,862.09 | |
United
| Facility | $2,884.03 | $9,549.93 | $14,454.40 | |
Wellcare
| Facility | $8,912.51 | $8,912.51 | $45,708.82 |