| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,122.02 | $3,019.95 | $10,471.29 | |
Medcost
| Facility | $794.33 | $1,047.13 | $1,659.59 | |
United
| Facility | $2,454.71 | $7,244.36 | $10,471.29 | |
Wellcare
| Facility | $7,943.28 | $7,943.28 | $33,884.42 |