| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.00 | $10.00 | $10.00 | |
BCBS
| Facility | $20.42 | $28.84 | $39.81 | |
Medica
| Facility | $10.23 | $10.23 | $10.23 | |
Medica
| Professional | $25.12 | $25.12 | $25.12 | |
United
| Professional | $25.12 | $25.12 | $25.12 |