| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,914.99 | $13,695.00 | $30,098.29 | |
Medcost
| Facility | $1,200.15 | $1,556.94 | $3,007.81 | |
United
| Facility | $22,810.00 | $44,645.00 | $93,042.00 | |
Wellcare
| Facility | $6,688.20 | $26,542.00 | $156,719.79 |