| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.02 | $1.02 | $1.02 | |
Aetna
| Professional | $0.82 | $0.85 | $1.02 | |
BCBS
| Facility | $59.31 | $60.52 | $167.62 | |
BCBS
| Professional | $421.68 | $421.68 | $421.68 | |
Medica
| Facility | $0.82 | $1.02 | $56.59 | |
Medica
| Professional | $141.37 | $141.37 | $141.37 | |
United
| Professional | $133.91 | $157.60 | $196.95 |