| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.38 | $0.38 | $0.51 | |
Aetna
| Professional | $0.37 | $0.38 | $0.44 | |
Medcost
| Facility | $0.38 | $0.40 | $4.99 | |
Medcost
| Professional | $2.67 | $2.67 | $2.67 | |
United
| Professional | $4.25 | $4.25 | $5.53 | |
Wellcare
| Facility | $5.78 | $95.00 | $100.00 |