| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Professional | $100.00 | $193.18 | $300.94 | |
Medcost
| Facility | $79.50 | $79.50 | $190.53 | |
Medcost
| Professional | $79.50 | $79.50 | $79.50 | |
United
| Professional | $106.87 | $157.09 | $274.63 | |
Wellcare
| Facility | $639.67 | $639.67 | $11,028.25 | |
Wellcare
| Professional | $1,397.00 | $2,367.00 | $2,367.00 |