| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,288.25 | $2,089.30 | $8,709.64 | |
Medcost
| Facility | $1,288.25 | $1,949.84 | $3,235.94 | |
United
| Facility | $1,174.90 | $3,890.45 | $6,918.31 | |
Wellcare
| Facility | $56.23 | $12,882.50 | $12,882.50 |