| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.02 | $0.02 | $0.02 | |
BCBS
| Professional | $59.19 | $69.98 | $70.51 | |
Medica
| Facility | $35.90 | $35.90 | $112.04 | |
Medica
| Professional | $10.16 | $25.52 | $41.11 | |
United
| Professional | $10.07 | $12.27 | $35.47 |