| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Professional | $56.23 | $56.23 | $102.33 | |
United
| Facility | $117.49 | $120.23 | $120.23 | |
United
| Professional | $48.98 | $66.07 | $109.65 | |
Wellcare
| Facility | $363.08 | $363.08 | $363.08 | |
Wellcare
| Professional | $363.08 | $363.08 | $363.08 |