| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $3.98 | $3.98 | $10.00 | |
BCBS
| Facility | $5.13 | $8.71 | $9.33 | |
BCBS
| Professional | $5.25 | $6.76 | $10.23 | |
Medica
| Facility | $4.90 | $19.95 | $29.51 | |
Medica
| Professional | $7.76 | $7.76 | $7.76 |