| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,174.90 | $3,235.94 | $10,471.29 | |
Medcost
| Facility | $741.31 | $1,071.52 | $2,041.74 | |
United
| Facility | $2,691.53 | $9,549.93 | $14,454.40 | |
Wellcare
| Facility | $8,912.51 | $8,912.51 | $33,884.42 |