| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.95 | $28.18 | $190.55 | |
BCBS
| Professional | $31.62 | $37.15 | $37.15 | |
Medica
| Facility | $23.99 | $28.84 | $34.67 | |
Medica
| Professional | $25.70 | $34.67 | $190.55 | |
United
| Professional | $25.70 | $34.67 | $44.67 |