| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $6.57 | $6.57 | $6.57 | |
Anthem BCBS
| Professional | $5.00 | $5.00 | $5.00 | |
Well Sense
| Professional | $2,500.00 | $2,920.00 | $3,750.00 |
Addl Supl Matrl&Staf Tm Drg Phe Res-Tr Nfct Ds
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $6.57 | $6.57 | $6.57 | |
Anthem BCBS
| Professional | $5.00 | $5.00 | $5.00 | |
Well Sense
| Professional | $2,500.00 | $2,920.00 | $3,750.00 |