| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,656.17 | $12,247.00 | $14,528.00 | |
Medcost
| Facility | $1,646.00 | $2,096.55 | $4,132.00 | |
United
| Facility | $4,504.51 | $12,081.00 | $19,066.00 | |
Wellcare
| Facility | $9,273.66 | $16,547.20 | $26,542.00 |