| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $912.01 | $2,511.89 | $8,709.64 | |
Medcost
| Facility | $707.95 | $851.14 | $1,318.26 | |
United
| Facility | $2,884.03 | $9,549.93 | $14,454.40 | |
Wellcare
| Facility | $8,912.51 | $8,912.51 | $45,708.82 |