| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,288.25 | $2,344.23 | $8,709.64 | |
Medcost
| Facility | $933.25 | $1,230.27 | $1,949.84 | |
United
| Facility | $4,466.84 | $12,302.69 | $19,054.61 | |
Wellcare
| Facility | $16,595.87 | $16,595.87 | $45,708.82 |