| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $34.67 | $34.67 | $34.67 | |
BCBS
| Facility | $6.03 | $10.23 | $10.96 | |
BCBS
| Professional | $5.25 | $6.76 | $10.23 | |
Medica
| Facility | $34.67 | $34.67 | $60.26 | |
Medica
| Professional | $77.62 | $77.62 | $77.62 |