| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,325.31 | $2,149.33 | $15,291.00 | |
Medcost
| Facility | $1,325.31 | $1,889.00 | $3,339.37 | |
United
| Facility | $1,172.00 | $4,086.00 | $7,778.00 | |
Wellcare
| Facility | $55.00 | $11,269.71 | $13,837.50 |