| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,523.70 | $1,863.82 | $7,439.00 | |
Medcost
| Facility | $1,799.00 | $2,136.00 | $4,589.27 | |
United
| Facility | $1,172.00 | $4,086.00 | $7,778.00 | |
Wellcare
| Facility | $55.00 | $36,645.62 | $44,202.90 |