| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $35.65 | $35.65 | $35.65 | |
BCBS
| Facility | $33.25 | $33.25 | $33.25 | |
Medcost
| Facility | $35.65 | $35.65 | $53.58 | |
United
| Professional | $34.86 | $37.26 | $42.08 | |
Wellcare
| Facility | $75.00 | $203.63 | $203.63 |