| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.41 | $0.41 | $0.41 | |
Aetna
| Professional | $0.41 | $0.41 | $0.41 | |
BCBS
| Professional | $2.36 | $2.36 | $2.50 | |
Medcost
| Facility | $0.41 | $0.41 | $0.49 | |
Medcost
| Professional | $1.30 | $1.30 | $1.30 | |
Wellcare
| Facility | $85.00 | $100.00 | $100.00 |