| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $34.67 | $34.67 | $34.67 | |
Aetna
| Professional | $34.67 | $34.67 | $34.67 | |
BCBS
| Facility | $17.78 | $17.78 | $17.78 | |
BCBS
| Professional | $14.13 | $17.78 | $17.78 | |
Medica
| Facility | $34.67 | $34.67 | $58.88 | |
Medica
| Professional | $53.70 | $53.70 | $53.70 | |
United
| Professional | $15.49 | $33.11 | $114.82 |