| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.80 | $0.80 | $0.80 | |
Aetna
| Professional | $0.80 | $0.80 | $0.80 | |
BCBS
| Professional | $83.54 | $90.00 | $96.00 | |
Medcost
| Facility | $0.80 | $0.88 | $2.50 | |
Wellcare
| Facility | $90.00 | $90.00 | $100.00 |