| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,513.56 | $6,918.31 | $15,488.17 | |
Medcost
| Facility | $549.54 | $1,096.48 | $2,089.30 | |
United
| Facility | $9,549.93 | $21,379.62 | $28,840.32 | |
Wellcare
| Facility | $50,118.72 | $57,543.99 | $57,543.99 |