| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $40.00 | $40.00 | $40.00 | |
Aetna
| Professional | $40.00 | $40.00 | $40.00 | |
BCBS
| Professional | $45.60 | $49.76 | $60.00 | |
Medcost
| Facility | $40.00 | $40.00 | $48.00 | |
Wellcare
| Facility | $90.00 | $90.00 | $100.00 |