| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.12 | $28.84 | $52.48 | |
Aetna
| Professional | $23.99 | $23.99 | $28.84 | |
BCBS
| Facility | $33.11 | $34.67 | $34.67 | |
BCBS
| Professional | $29.51 | $29.51 | $29.51 | |
Medica
| Facility | $25.12 | $30.20 | $45.71 | |
Medica
| Professional | $29.51 | $32.36 | $34.67 | |
United
| Facility | $21.88 | $21.88 | $21.88 | |
United
| Professional | $29.51 | $29.51 | $35.48 |