| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $49.81 | $51.12 | $604.41 | |
BCBS
| Facility | $19.14 | $72.72 | $115.20 | |
BCBS
| Professional | $22.30 | $22.87 | $45.60 | |
Medica
| Facility | $49.81 | $51.12 | $100.00 | |
United
| Facility | $55.50 | $55.50 | $55.50 |