| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.11 | $15.11 | $15.11 | |
Aetna
| Professional | $14.09 | $15.11 | $15.11 | |
BCBS
| Facility | $15.71 | $15.71 | $31.52 | |
BCBS
| Professional | $12.94 | $12.94 | $13.80 | |
Medcost
| Facility | $15.11 | $16.42 | $20.53 | |
Medcost
| Professional | $12.96 | $12.96 | $12.96 | |
United
| Professional | $8.61 | $14.19 | $39.21 | |
Wellcare
| Facility | $80.00 | $142.37 | $158.10 |