| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6.00 | $6.00 | $6.00 | |
Aetna
| Professional | $6.00 | $6.00 | $6.00 | |
BCBS
| Facility | $8.80 | $12.66 | $19.41 | |
BCBS
| Professional | $7.04 | $8.80 | $8.80 | |
Medica
| Professional | $4.17 | $4.17 | $5.76 | |
United
| Professional | $4.17 | $4.17 | $7.56 |