| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $54.21 | $54.21 | $54.21 | |
Aetna
| Professional | $41.26 | $54.21 | $54.21 | |
BCBS
| Facility | $57.34 | $87.00 | $152.56 | |
Medica
| Facility | $84.53 | $91.61 | $123.37 | |
Medica
| Professional | $68.87 | $114.43 | $197.59 | |
United
| Professional | $59.54 | $105.06 | $185.67 |