| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,184.68 | $1,923.18 | $8,413.00 | |
Medcost
| Facility | $1,184.68 | $1,555.74 | $3,009.23 | |
United
| Facility | $1,172.00 | $4,086.00 | $7,778.00 | |
Wellcare
| Facility | $5,897.00 | $6,807.36 | $8,335.86 |