| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,215.97 | $1,615.00 | $7,439.00 | |
Medcost
| Facility | $1,215.97 | $1,559.71 | $3,048.84 | |
United
| Facility | $1,064.00 | $3,906.00 | $6,388.00 | |
Wellcare
| Facility | $55.00 | $15,180.62 | $18,410.59 |