| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $299.36 | $1,338.00 | $8,413.00 | |
Medcost
| Facility | $299.36 | $437.00 | $763.50 | |
United
| Facility | $2,526.00 | $7,659.00 | $10,502.00 | |
Wellcare
| Facility | $1,125.35 | $9,388.90 | $26,542.00 |