| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4.88 | $4.88 | $4.88 | |
Aetna
| Professional | $4.88 | $4.88 | $20.00 | |
BCBS
| Facility | $1.00 | $8.00 | $8.00 | |
BCBS
| Professional | $6.58 | $7.76 | $8.00 | |
Medica
| Facility | $4.88 | $4.88 | $18.11 | |
Medica
| Professional | $7.70 | $7.70 | $7.70 |