| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,079.29 | $1,533.44 | $7,439.00 | |
Medcost
| Facility | $1,038.80 | $1,128.00 | $1,546.64 | |
United
| Facility | $3,366.00 | $9,541.00 | $14,589.00 | |
Wellcare
| Facility | $5,975.10 | $9,001.70 | $16,394.00 |