| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.67 | $19.67 | $19.67 | |
Aetna
| Professional | $19.67 | $19.67 | $19.67 | |
BCBS
| Facility | $3.38 | $3.56 | $3.56 | |
BCBS
| Professional | $3.52 | $3.52 | $3.52 | |
Medica
| Facility | $19.67 | $19.67 | $26.36 | |
Medica
| Professional | $19.53 | $19.53 | $19.53 |