| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,128.09 | $7,629.02 | $11,986.00 | |
Medcost
| Facility | $757.77 | $993.00 | $1,897.56 | |
United
| Facility | $3,366.00 | $9,541.00 | $14,589.00 | |
Wellcare
| Facility | $55.00 | $5,000.24 | $10,899.50 |