| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $146.66 | $146.66 | $146.66 | |
Aetna
| Professional | $139.94 | $146.66 | $148.03 | |
BCBS
| Professional | $143.56 | $200.98 | $470.11 | |
Medcost
| Facility | $120.63 | $147.63 | $249.34 | |
Medcost
| Professional | $147.63 | $147.63 | $147.63 | |
United
| Professional | $151.65 | $207.95 | $429.51 | |
Wellcare
| Facility | $363.37 | $408.25 | $817.48 | |
Wellcare
| Professional | $1,137.35 | $1,318.35 | $1,318.35 |