| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.67 | $19.67 | $19.67 | |
Aetna
| Professional | $15.00 | $19.67 | $19.67 | |
BCBS
| Facility | $1.00 | $5.90 | $5.90 | |
BCBS
| Professional | $4.86 | $5.72 | $5.90 | |
Medica
| Facility | $19.67 | $19.67 | $33.24 | |
Medica
| Professional | $19.53 | $19.53 | $19.53 |