| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.00 | $10.00 | $10.00 | |
Aetna
| Professional | $10.00 | $10.00 | $10.00 | |
BCBS
| Professional | $90.11 | $90.56 | $99.87 | |
Medica
| Facility | $10.00 | $10.00 | $17.00 | |
United
| Professional | $7.20 | $7.20 | $7.20 |