| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $557.89 | $852.27 | $7,439.00 | |
Medcost
| Facility | $557.89 | $707.52 | $1,430.62 | |
United
| Facility | $1,172.00 | $4,086.00 | $7,778.00 | |
Wellcare
| Facility | $55.00 | $3,780.00 | $4,657.93 |