| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,615.00 | $2,313.37 | $7,439.00 | |
Medcost
| Facility | $2,106.60 | $2,969.86 | $5,142.04 | |
United
| Facility | $1,172.00 | $4,086.00 | $7,778.00 | |
Wellcare
| Facility | $55.00 | $31,513.12 | $37,804.00 |