| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $44.98 | $44.98 | $44.98 | |
BCBS
| Professional | $139.72 | $243.00 | $243.00 | |
Medica
| Facility | $47.23 | $47.23 | $47.23 | |
Medica
| Professional | $20.26 | $268.41 | $270.00 | |
United
| Professional | $20.26 | $20.26 | $28.67 |