| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,417.24 | $2,172.78 | $15,291.00 | |
Medcost
| Facility | $1,357.00 | $1,750.77 | $3,456.96 | |
United
| Facility | $5,293.00 | $12,216.00 | $19,066.00 | |
Wellcare
| Facility | $7,720.68 | $16,547.20 | $26,542.00 |