| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Professional | $50.12 | $50.12 | $50.12 | |
BCBS
| Professional | $38.02 | $60.26 | $158.49 | |
Medcost
| Facility | $53.70 | $87.10 | $120.23 | |
United
| Professional | $29.51 | $63.10 | $114.82 | |
Wellcare
| Facility | $275.42 | $275.42 | $275.42 | |
Wellcare
| Professional | $489.78 | $489.78 | $489.78 |