| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,615.00 | $2,454.06 | $7,439.00 | |
Medcost
| Facility | $2,429.00 | $3,088.00 | $6,326.93 | |
United
| Facility | $1,172.00 | $4,086.00 | $7,778.00 | |
Wellcare
| Facility | $55.00 | $27,628.08 | $33,788.40 |