| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $50.90 | $50.90 | $64.00 | |
BCBS
| Professional | $1.00 | $1.00 | $1.10 | |
Medcost
| Facility | $0.02 | $64.00 | $64.00 | |
Wellcare
| Facility | $100.00 | $100.00 | $100.00 | |
Wellcare
| Professional | $115.22 | $115.22 | $148.13 |