| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $724.44 | $1,819.70 | $8,709.64 | |
Medcost
| Facility | $616.60 | $831.76 | $1,513.56 | |
United
| Facility | $1,174.90 | $3,890.45 | $6,918.31 | |
Wellcare
| Facility | $56.23 | $9,120.11 | $9,120.11 |