| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15.00 | $19.67 | $19.67 | |
BCBS
| Facility | $6.40 | $10.88 | $10.88 | |
BCBS
| Professional | $7.00 | $8.00 | $9.30 | |
Medica
| Facility | $15.00 | $19.67 | $25.08 | |
Medica
| Professional | $19.53 | $19.53 | $19.53 |