| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5.90 | $5.90 | $5.90 | |
Aetna
| Professional | $5.50 | $5.90 | $5.90 | |
BCBS
| Facility | $6.14 | $6.14 | $12.30 | |
BCBS
| Professional | $5.05 | $5.05 | $5.39 | |
Medcost
| Facility | $5.90 | $6.41 | $8.02 | |
Medcost
| Professional | $5.07 | $5.07 | $5.07 | |
United
| Facility | $5.39 | $6.74 | $6.74 | |
United
| Professional | $3.36 | $5.60 | $15.30 | |
Wellcare
| Facility | $85.00 | $216.93 | $233.62 |