| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $50.90 | $50.90 | $50.90 | |
BCBS
| Professional | $45.60 | $49.76 | $60.00 | |
United
| Professional | $2,811.88 | $2,811.88 | $3,233.66 | |
Wellcare
| Facility | $100.00 | $100.00 | $100.00 |