| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $38.99 | $38.99 | $38.99 | |
Aetna
| Professional | $37.19 | $38.99 | $39.35 | |
BCBS
| Professional | $38.28 | $53.59 | $124.93 | |
Medcost
| Facility | $32.09 | $39.36 | $66.28 | |
Medcost
| Professional | $39.36 | $39.36 | $39.36 | |
United
| Professional | $40.26 | $55.32 | $122.88 | |
Wellcare
| Facility | $96.76 | $108.71 | $217.93 | |
Wellcare
| Professional | $303.04 | $352.58 | $352.58 |