| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $35.00 | $35.00 | $385.00 | |
Aetna
| Professional | $35.00 | $45.00 | $420.00 | |
BCBS
| Facility | $0.95 | $1.00 | $1.00 | |
Medica
| Facility | $59.15 | $59.15 | $59.15 | |
Medica
| Professional | $44.99 | $79.17 | $122.73 | |
United
| Professional | $44.99 | $80.00 | $115.00 |