| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $194.98 | $1,047.13 | $8,709.64 | |
Medcost
| Facility | $117.49 | $141.25 | $245.47 | |
United
| Facility | $933.25 | $2,187.76 | $4,265.80 | |
Wellcare
| Facility | $56.23 | $7,943.28 | $7,943.28 |