| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,200.00 | $8,432.00 | $41,102.51 | |
Medcost
| Facility | $622.59 | $1,226.32 | $2,150.19 | |
United
| Facility | $10,829.00 | $22,655.00 | $29,047.00 | |
Wellcare
| Facility | $2,742.66 | $26,542.00 | $57,753.25 |