| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $21.08 | $21.08 | $21.08 | |
BCBS
| Professional | $52.42 | $151.00 | $151.00 | |
Medica
| Facility | $22.13 | $22.13 | $22.13 | |
Medica
| Professional | $7.59 | $7.59 | $10.75 | |
United
| Professional | $7.59 | $7.59 | $10.75 |