| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,615.00 | $2,444.73 | $6,953.60 | |
Medcost
| Facility | $1,662.00 | $2,306.75 | $4,450.67 | |
United
| Facility | $1,172.00 | $4,086.00 | $7,778.00 | |
Wellcare
| Facility | $55.00 | $13,253.36 | $16,400.56 |