| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $258.94 | $546.85 | $5,449.00 | |
Medcost
| Facility | $258.94 | $405.11 | $714.07 | |
United
| Facility | $361.00 | $896.00 | $2,229.00 | |
Wellcare
| Facility | $1,827.06 | $1,827.06 | $12,000.00 |