| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Professional | $66.90 | $120.42 | $215.42 | |
Medcost
| Facility | $4,543.28 | $6,490.40 | $6,490.40 | |
Medcost
| Professional | $6,490.40 | $6,490.40 | $6,490.40 | |
United
| Professional | $63.50 | $80.59 | $144.99 | |
Wellcare
| Facility | $114.11 | $152.41 | $2,268.58 | |
Wellcare
| Professional | $32,026.29 | $32,026.29 | $32,026.29 |