| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,380.38 | $4,073.80 | $8,709.64 | |
Medcost
| Facility | $1,071.52 | $1,412.54 | $2,290.87 | |
United
| Facility | $4,466.84 | $12,302.69 | $19,054.61 | |
Wellcare
| Facility | $16,595.87 | $16,595.87 | $45,708.82 |