| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $38.14 | $64.61 | $168.00 | |
Aetna
| Professional | $34.71 | $39.15 | $50.75 | |
BCBS
| Professional | $64.73 | $64.73 | $64.73 | |
Medica
| Facility | $36.11 | $39.94 | $86.25 | |
Medica
| Professional | $29.32 | $46.37 | $280.19 | |
United
| Professional | $29.32 | $42.88 | $73.58 |