| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $150.05 | $150.05 | $150.05 | |
Aetna
| Professional | $123.27 | $150.05 | $150.05 | |
BCBS
| Facility | $0.95 | $1.00 | $1.00 | |
Medica
| Facility | $233.88 | $270.04 | $325.25 | |
Medica
| Professional | $205.83 | $342.13 | $590.19 | |
United
| Professional | $205.83 | $316.89 | $554.55 |