| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $36.31 | $36.31 | $36.31 | |
Aetna
| Professional | $44.67 | $52.48 | $52.48 | |
BCBS
| Facility | $35.48 | $35.48 | $1,621.81 | |
Medica
| Facility | $85.11 | $91.20 | $117.49 | |
United
| Facility | $91.20 | $93.33 | $125.89 |