| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1.45 | $1.45 | $1.45 | |
Ambetter
| Professional | $0.26 | $36.31 | $40.74 | |
BCBS
| Facility | $0.65 | $0.71 | $0.93 | |
BCBS
| Professional | $0.43 | $0.44 | $0.46 | |
Medcost
| Facility | $0.40 | $0.44 | $0.49 | |
United
| Facility | $0.31 | $0.40 | $0.40 | |
United
| Professional | $0.23 | $0.66 | $1.17 | |
Wellcare
| Facility | $89.13 | $89.13 | $89.13 |