| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $225.83 | $225.83 | $225.83 | |
Aetna
| Professional | $210.57 | $225.83 | $225.83 | |
BCBS
| Facility | $206.77 | $234.94 | $471.15 | |
BCBS
| Professional | $193.42 | $193.43 | $193.43 | |
Medcost
| Facility | $152.81 | $225.83 | $271.00 | |
Medcost
| Professional | $193.80 | $193.80 | $193.80 | |
United
| Professional | $106.57 | $208.17 | $585.96 | |
Wellcare
| Facility | $402.98 | $1,225.03 | $1,225.03 |