| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.00 | $1.00 | $1.00 | |
Aetna
| Professional | $1.00 | $1.00 | $1.00 | |
BCBS
| Facility | $1.70 | $2.04 | $2.88 | |
BCBS
| Professional | $1.29 | $1.32 | $1.38 | |
Medcost
| Facility | $0.78 | $1.35 | $1.55 | |
United
| Facility | $1.02 | $1.29 | $1.29 | |
United
| Professional | $0.71 | $1.86 | $3.47 | |
Wellcare
| Facility | $89.13 | $89.13 | $89.13 |