| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $423.15 | $778.78 | $10,453.00 | |
Medcost
| Facility | $423.15 | $592.41 | $1,023.63 | |
United
| Facility | $2,526.00 | $7,659.00 | $10,502.00 | |
Wellcare
| Facility | $2,206.00 | $2,206.00 | $26,542.00 |