| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $465.09 | $5,724.00 | $7,968.00 | |
Medcost
| Facility | $465.09 | $684.00 | $1,233.83 | |
United
| Facility | $2,526.00 | $7,659.00 | $10,502.00 | |
Wellcare
| Facility | $1,753.72 | $9,388.90 | $26,542.00 |