| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $109.65 | $1,659.59 | $8,128.31 | |
Medcost
| Facility | $66.07 | $81.28 | $120.23 | |
United
| Facility | $1,318.26 | $3,890.45 | $6,760.83 | |
Wellcare
| Facility | $56.23 | $4,466.84 | $4,466.84 |