| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Professional | $12.00 | $12.00 | $12.00 | |
Medcost
| Facility | $1,000.00 | $1,000.00 | $1,000.00 | |
Wellcare
| Facility | $100.00 | $100.00 | $100.00 | |
Wellcare
| Professional | $131.15 | $131.15 | $131.15 |