| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $838.41 | $1,323.51 | $7,439.00 | |
Medcost
| Facility | $838.41 | $1,171.09 | $2,137.57 | |
United
| Facility | $3,366.00 | $9,541.00 | $14,589.00 | |
Wellcare
| Facility | $55.00 | $5,526.99 | $6,841.80 |