| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $344.33 | $543.74 | $7,439.00 | |
Medcost
| Facility | $344.33 | $486.32 | $924.43 | |
United
| Facility | $1,172.00 | $4,086.00 | $7,778.00 | |
Wellcare
| Facility | $55.00 | $2,885.31 | $3,475.44 |