| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $107.82 | $110.36 | $337.57 | |
BCBS
| Professional | $106.66 | $185.50 | $303.20 | |
Medcost
| Facility | $107.71 | $107.71 | $139.05 | |
United
| Professional | $107.99 | $124.28 | $227.23 | |
Wellcare
| Facility | $528.34 | $528.34 | $528.34 | |
Wellcare
| Professional | $785.20 | $785.20 | $852.08 |