| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8.07 | $8.07 | $10.87 | |
Aetna
| Professional | $7.88 | $8.07 | $9.46 | |
Medcost
| Facility | $8.07 | $8.55 | $10.44 | |
Medcost
| Professional | $9.02 | $9.02 | $9.02 | |
United
| Professional | $9.49 | $9.49 | $12.34 | |
Wellcare
| Facility | $100.00 | $100.00 | $100.00 |