| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,023.29 | $2,754.23 | $14,454.40 | |
Medcost
| Facility | $707.95 | $954.99 | $1,445.44 | |
United
| Facility | $4,466.84 | $12,302.69 | $19,054.61 | |
Wellcare
| Facility | $16,595.87 | $16,595.87 | $33,884.42 |