| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $229.71 | $363.04 | $7,439.00 | |
Medcost
| Facility | $217.06 | $329.70 | $480.09 | |
United
| Facility | $1,172.00 | $4,086.00 | $7,778.00 | |
Wellcare
| Facility | $55.00 | $2,366.32 | $2,855.82 |