| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.05 | $19.50 | $23.99 | |
Aetna
| Professional | $19.05 | $19.50 | $23.99 | |
BCBS
| Facility | $23.44 | $24.55 | $24.55 | |
Medica
| Facility | $19.50 | $23.99 | $79.43 | |
Medica
| Professional | $19.50 | $19.50 | $28.84 | |
United
| Facility | $13.80 | $14.79 | $25.12 | |
United
| Professional | $19.50 | $19.50 | $19.50 |