| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.00 | $1.00 | $1.00 | |
Aetna
| Professional | $1.00 | $1.00 | $1.32 | |
BCBS
| Professional | $7.59 | $10.00 | $11.22 | |
Medica
| Facility | $1.32 | $1.62 | $2.40 | |
United
| Professional | $3.31 | $3.31 | $3.31 |