| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,397.52 | $7,439.00 | $11,525.00 | |
Medcost
| Facility | $913.06 | $1,238.00 | $2,325.00 | |
United
| Facility | $5,293.00 | $11,617.00 | $17,964.00 | |
Wellcare
| Facility | $5,090.34 | $16,547.20 | $26,542.00 |