| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.73 | $0.73 | $0.73 | |
Aetna
| Professional | $0.73 | $0.73 | $0.73 | |
BCBS
| Professional | $5.78 | $5.78 | $6.17 | |
Medcost
| Facility | $0.73 | $0.73 | $0.88 | |
Medcost
| Professional | $3.92 | $3.92 | $3.92 | |
Wellcare
| Facility | $85.00 | $100.00 | $100.00 |