| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.15 | $507.06 | $10,453.00 | |
Medcost
| Facility | $208.23 | $307.00 | $905.22 | |
United
| Facility | $361.00 | $896.00 | $2,229.00 | |
Wellcare
| Facility | $448.21 | $2,538.00 | $26,542.00 |