| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $142.09 | $846.56 | $4,951.00 | |
Medcost
| Facility | $121.60 | $743.98 | $1,146.56 | |
United
| Facility | $1,258.00 | $3,733.00 | $6,097.00 | |
Wellcare
| Facility | $55.00 | $1,190.17 | $1,190.17 |