| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $4.88 | $4.88 | $20.00 | |
BCBS
| Facility | $5.18 | $8.80 | $8.80 | |
BCBS
| Professional | $5.29 | $6.05 | $7.03 | |
Medica
| Facility | $4.88 | $20.00 | $29.80 | |
Medica
| Professional | $7.70 | $7.70 | $7.70 |