| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8.00 | $8.00 | $8.00 | |
Aetna
| Professional | $8.00 | $8.00 | $8.00 | |
BCBS
| Facility | $1.00 | $3.00 | $3.00 | |
BCBS
| Professional | $2.47 | $2.91 | $3.00 | |
Medica
| Facility | $8.00 | $8.00 | $13.52 | |
Medica
| Professional | $15.00 | $15.00 | $15.00 | |
United
| Professional | $17.39 | $17.39 | $60.19 |