| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4.70 | $4.70 | $4.70 | |
Aetna
| Professional | $3.76 | $3.90 | $4.70 | |
BCBS
| Facility | $4.05 | $4.05 | $4.22 | |
Medica
| Facility | $4.00 | $4.70 | $90.00 | |
Medica
| Professional | $6.51 | $6.51 | $8.99 | |
United
| Professional | $6.36 | $6.36 | $11.53 |