| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Professional | $100.00 | $554.60 | $852.66 | |
Medcost
| Facility | $305.04 | $305.04 | $615.71 | |
Medcost
| Professional | $305.04 | $305.04 | $305.04 | |
United
| Professional | $322.01 | $456.95 | $709.71 | |
Wellcare
| Facility | $692.56 | $692.56 | $150,403.79 | |
Wellcare
| Professional | $2,006.23 | $2,006.23 | $2,006.23 |