| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15.14 | $23.99 | $30.90 | |
BCBS
| Professional | $11.75 | $14.79 | $16.60 | |
Medica
| Facility | $15.85 | $25.70 | $37.15 | |
Medica
| Professional | $25.70 | $32.36 | $162.18 | |
United
| Professional | $25.70 | $29.51 | $47.86 |