| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,464.46 | $12,247.00 | $14,528.00 | |
Medcost
| Facility | $1,451.00 | $1,848.88 | $3,642.06 | |
United
| Facility | $5,293.00 | $12,216.00 | $19,066.00 | |
Wellcare
| Facility | $8,154.66 | $16,547.20 | $26,542.00 |