| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1.05 | $1.05 | $1.05 | |
BCBS
| Facility | $3.62 | $13.74 | $21.77 | |
BCBS
| Professional | $4.80 | $6.40 | $31.00 | |
Medica
| Facility | $1.05 | $1.15 | $2.27 | |
Medica
| Professional | $43.60 | $65.40 | $109.00 | |
United
| Professional | $65.40 | $65.40 | $109.00 |