| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $616.60 | $3,890.45 | $7,244.36 | |
Medcost
| Facility | $380.19 | $512.86 | $812.83 | |
United
| Facility | $2,511.89 | $7,244.36 | $10,471.29 | |
Wellcare
| Facility | $9,332.54 | $9,332.54 | $28,840.32 |