| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5.70 | $5.70 | $5.70 | |
Aetna
| Professional | $5.30 | $5.70 | $5.70 | |
BCBS
| Facility | $8.28 | $9.42 | $11.89 | |
BCBS
| Professional | $6.02 | $6.02 | $6.42 | |
Medcost
| Facility | $5.31 | $5.70 | $6.84 | |
Medcost
| Professional | $7.76 | $7.76 | $7.76 | |
United
| Professional | $3.15 | $8.34 | $16.80 | |
Wellcare
| Facility | $80.00 | $85.00 | $85.00 |