| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $31.97 | $31.97 | $39.88 | |
BCBS
| Professional | $35.00 | $40.99 | $59.54 | |
Medcost
| Facility | $45.20 | $45.20 | $45.20 | |
Medcost
| Professional | $35.50 | $35.50 | $35.50 | |
United
| Professional | $34.29 | $37.36 | $77.80 | |
Wellcare
| Facility | $70.34 | $77.18 | $211.40 |