| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Professional | $100.00 | $1,158.53 | $1,781.16 | |
Medcost
| Facility | $637.52 | $637.52 | $1,361.59 | |
Medcost
| Professional | $637.52 | $637.52 | $637.52 | |
United
| Professional | $681.12 | $953.57 | $1,777.24 | |
Wellcare
| Facility | $4,843.96 | $4,843.96 | $17,524.30 | |
Wellcare
| Professional | $4,191.10 | $4,388.18 | $4,388.18 |