| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.64 | $50.96 | $50.96 | |
Aetna
| Professional | $20.38 | $20.64 | $21.15 | |
BCBS
| Facility | $19.66 | $46.46 | $114.89 | |
BCBS
| Professional | $17.55 | $21.61 | $51.05 | |
Medica
| Facility | $20.64 | $22.70 | $44.79 | |
Medica
| Professional | $96.82 | $96.82 | $96.82 | |
United
| Professional | $25.48 | $25.48 | $25.48 |