| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,307.63 | $1,944.37 | $7,439.00 | |
Medcost
| Facility | $1,541.00 | $2,081.96 | $4,236.51 | |
United
| Facility | $1,172.00 | $4,086.00 | $7,778.00 | |
Wellcare
| Facility | $55.00 | $29,291.68 | $35,324.00 |