| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.00 | $25.00 | $25.00 | |
Aetna
| Professional | $25.00 | $25.00 | $25.00 | |
BCBS
| Professional | $3.10 | $3.82 | $9.02 | |
Medica
| Facility | $25.00 | $27.50 | $54.25 | |
United
| Professional | $3.71 | $3.71 | $3.71 |