| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,445.44 | $6,606.93 | $15,135.61 | |
Medcost
| Facility | $1,023.29 | $1,348.96 | $2,137.96 | |
United
| Facility | $4,466.84 | $12,302.69 | $19,054.61 | |
Wellcare
| Facility | $16,595.87 | $16,595.87 | $33,884.42 |