| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,105.66 | $1,690.53 | $8,413.00 | |
Medcost
| Facility | $992.00 | $1,332.24 | $2,749.53 | |
United
| Facility | $5,293.00 | $12,216.00 | $19,066.00 | |
Wellcare
| Facility | $6,144.12 | $16,547.20 | $26,542.00 |