| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $160.28 | $683.28 | $7,278.00 | |
Medcost
| Facility | $160.28 | $439.03 | $1,012.50 | |
United
| Facility | $2,526.00 | $7,659.00 | $10,502.00 | |
Wellcare
| Facility | $809.21 | $809.21 | $16,394.00 |