| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,181.00 | $4,922.05 | $7,968.00 | |
Aetna
| Professional | $650.00 | $901.00 | $7,278.00 | |
Medcost
| Facility | $564.11 | $564.11 | $798.27 | |
United
| Facility | $361.00 | $896.00 | $2,229.00 | |
Wellcare
| Facility | $100.00 | $100.00 | $100.00 |