| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9.81 | $9.81 | $9.81 | |
Aetna
| Professional | $9.14 | $9.81 | $9.81 | |
BCBS
| Facility | $10.19 | $10.19 | $20.46 | |
BCBS
| Professional | $8.40 | $8.40 | $8.96 | |
Medcost
| Facility | $9.81 | $10.66 | $13.33 | |
Medcost
| Professional | $8.42 | $8.42 | $8.42 | |
United
| Professional | $5.59 | $9.31 | $28.25 | |
Wellcare
| Facility | $80.00 | $85.00 | $85.00 |