| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $37.65 | $37.65 | $37.65 | |
Aetna
| Professional | $27.82 | $37.65 | $71.90 | |
BCBS
| Professional | $37.92 | $93.66 | $190.82 | |
Medcost
| Facility | $29.67 | $30.06 | $47.44 | |
Medcost
| Professional | $30.06 | $30.06 | $30.06 | |
United
| Professional | $59.54 | $72.34 | $140.41 | |
Wellcare
| Facility | $32.67 | $33.01 | $179.98 | |
Wellcare
| Professional | $246.18 | $246.18 | $246.18 |