| 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 | $2.00 | |
Ambetter
| Professional | $1.82 | $1.82 | $3.24 | |
BCBS
| Professional | $5.89 | $5.89 | $6.17 | |
Medcost
| Facility | $1.12 | $1.12 | $1.38 | |
Wellcare
| Facility | $100.00 | $100.00 | $100.00 |