| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5.00 | $5.00 | $5.00 | |
Aetna
| Professional | $5.00 | $5.00 | $5.00 | |
BCBS
| Facility | $3.66 | $3.85 | $3.85 | |
BCBS
| Professional | $3.81 | $3.81 | $3.81 | |
Medica
| Facility | $5.00 | $5.00 | $6.70 | |
Medica
| Professional | $12.47 | $12.47 | $12.47 |