| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Professional | $73.27 | $110.46 | $249.62 | |
Medcost
| Facility | $76.03 | $77.00 | $86.00 | |
Medcost
| Professional | $77.00 | $103.00 | $111.00 | |
United
| Professional | $71.79 | $93.89 | $160.38 | |
Wellcare
| Facility | $167.90 | $169.86 | $417.19 | |
Wellcare
| Professional | $515.54 | $515.54 | $673.58 |