| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5.01 | $5.01 | $5.01 | |
Aetna
| Professional | $3.02 | $5.01 | $6.03 | |
BCBS
| Facility | $8.51 | $9.77 | $12.88 | |
BCBS
| Professional | $6.17 | $6.17 | $6.61 | |
Medcost
| Facility | $3.98 | $6.03 | $6.92 | |
United
| Facility | $4.27 | $5.50 | $5.50 | |
United
| Professional | $3.24 | $8.51 | $16.60 | |
Wellcare
| Facility | $85.11 | $85.11 | $85.11 |