| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $291.79 | $291.79 | $291.79 | |
Aetna
| Professional | $272.08 | $291.79 | $291.79 | |
BCBS
| Facility | $267.19 | $303.60 | $608.75 | |
BCBS
| Professional | $249.93 | $249.93 | $266.58 | |
Medcost
| Facility | $164.98 | $291.79 | $350.15 | |
Medcost
| Professional | $250.44 | $250.44 | $250.44 | |
United
| Professional | $166.25 | $274.29 | $757.12 | |
Wellcare
| Facility | $520.69 | $1,582.89 | $1,582.89 |