| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,336.43 | $2,178.69 | $10,924.00 | |
Medcost
| Facility | $1,298.98 | $1,666.95 | $3,325.57 | |
United
| Facility | $5,293.00 | $12,216.00 | $19,066.00 | |
Wellcare
| Facility | $8,673.98 | $16,547.20 | $26,542.00 |