| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $713.80 | $1,245.00 | $8,413.00 | |
Medcost
| Facility | $704.00 | $798.63 | $1,059.96 | |
United
| Facility | $3,366.00 | $9,541.00 | $14,589.00 | |
Wellcare
| Facility | $4,007.40 | $9,001.70 | $26,542.00 |