| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $118.34 | $1,245.00 | $8,413.00 | |
Medcost
| Facility | $112.99 | $195.41 | $253.52 | |
United
| Facility | $905.00 | $2,417.00 | $4,102.00 | |
Wellcare
| Facility | $55.00 | $776.79 | $7,984.00 |