| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.32 | $17.47 | $45.43 | |
Aetna
| Professional | $9.39 | $10.59 | $13.72 | |
BCBS
| Professional | $64.73 | $64.73 | $64.73 | |
Medica
| Facility | $9.05 | $10.80 | $21.92 | |
Medica
| Professional | $7.34 | $11.60 | $153.85 | |
United
| Professional | $7.34 | $10.14 | $17.43 |