| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $20.00 | $20.00 | $20.00 | |
BCBS
| Facility | $8.00 | $13.60 | $13.60 | |
BCBS
| Professional | $7.00 | $8.00 | $9.30 | |
Medica
| Facility | $20.00 | $20.00 | $34.40 | |
Medica
| Professional | $39.22 | $39.22 | $39.22 |