| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2.43 | $7.91 | $22.64 | |
Aetna
| Professional | $7.73 | $7.91 | $7.91 | |
Medcost
| Facility | $7.91 | $7.91 | $8.94 | |
Medcost
| Professional | $7.91 | $8.02 | $8.02 | |
United
| Facility | $0.12 | $4.69 | $11.03 | |
United
| Professional | $3.91 | $9.77 | $9.77 | |
Wellcare
| Facility | $85.00 | $90.00 | $100.00 |