| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $162.18 | $5,248.07 | $8,709.64 | |
Medcost
| Facility | $138.04 | $177.83 | $275.42 | |
United
| Facility | $363.08 | $812.83 | $1,949.84 | |
Wellcare
| Facility | $56.23 | $1,000.00 | $1,000.00 |