| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.94 | $10.94 | $10.94 | |
Anthem BCBS
| Professional | $13.00 | $13.00 | $13.00 | |
Medica
| Facility | $13.86 | $14.18 | $100.00 | |
Medica
| Professional | $15.44 | $16.82 | $19.05 | |
United
| Professional | $15.44 | $16.38 | $19.05 |