| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,245.00 | $3,424.76 | $12,914.67 | |
Medcost
| Facility | $1,037.42 | $1,334.00 | $2,602.60 | |
United
| Facility | $5,293.00 | $12,216.00 | $19,066.00 | |
Wellcare
| Facility | $5,790.72 | $16,547.20 | $26,542.00 |