| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $906.60 | $1,435.82 | $7,439.00 | |
Medcost
| Facility | $835.00 | $1,130.81 | $1,489.03 | |
United
| Facility | $3,366.00 | $9,541.00 | $14,589.00 | |
Wellcare
| Facility | $3,475.20 | $11,102.00 | $16,394.00 |