| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $350.92 | $4,304.22 | $8,413.00 | |
Medcost
| Facility | $369.95 | $2,825.82 | $7,509.62 | |
United
| Facility | $6,688.00 | $14,893.00 | $22,265.00 | |
Wellcare
| Facility | $1,995.05 | $1,995.05 | $26,542.00 |