| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $288.40 | $4,466.84 | $8,709.64 | |
Medcost
| Facility | $245.47 | $338.84 | $602.56 | |
United
| Facility | $363.08 | $812.83 | $1,949.84 | |
Wellcare
| Facility | $56.23 | $1,778.28 | $1,778.28 |