| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5.14 | $5.14 | $5.14 | |
Aetna
| Professional | $5.14 | $5.14 | $5.14 | |
BCBS
| Facility | $3.48 | $3.66 | $3.66 | |
BCBS
| Professional | $3.62 | $3.62 | $3.62 | |
Medica
| Facility | $5.14 | $5.14 | $6.89 | |
Medica
| Professional | $5.79 | $5.79 | $5.79 |