| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,068.25 | $5,941.62 | $8,509.20 | |
Medcost
| Facility | $330.55 | $456.01 | $850.05 | |
United
| Facility | $3,366.00 | $9,541.00 | $14,589.00 | |
Wellcare
| Facility | $1,258.28 | $9,558.29 | $26,542.00 |