| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.89 | $20.89 | $20.89 | |
Aetna
| Professional | $20.89 | $25.12 | $33.88 | |
BCBS
| Facility | $1.23 | $1.82 | $1.95 | |
BCBS
| Professional | $0.98 | $1.23 | $1.23 | |
Medica
| Facility | $2.69 | $2.69 | $95.50 | |
Medica
| Professional | $0.28 | $0.30 | $0.54 | |
United
| Facility | $0.03 | $0.03 | $0.11 | |
United
| Professional | $0.28 | $0.38 | $0.76 |