| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2.10 | $2.10 | $2.10 | |
BCBS
| Professional | $70.00 | $70.00 | $80.00 | |
Medcost
| Facility | $2.10 | $9.80 | $14.00 | |
Wellcare
| Facility | $100.00 | $100.00 | $100.00 | |
Wellcare
| Professional | $39.01 | $39.01 | $1,962.21 |