| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $53.10 | $75.40 | $285.14 | |
Aetna
| Professional | $29.50 | $53.10 | $63.72 | |
BCBS
| Professional | $46.26 | $52.87 | $66.09 | |
Medica
| Facility | $0.74 | $56.35 | $2,489.36 | |
Medica
| Professional | $53.63 | $69.20 | $372.64 | |
United
| Professional | $53.63 | $65.73 | $133.66 |