| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $4.40 | $4.40 | $20.77 | |
BCBS
| Facility | $8.96 | $15.23 | $15.23 | |
BCBS
| Professional | $9.80 | $11.20 | $13.02 | |
Medica
| Facility | $4.40 | $20.77 | $30.95 | |
Medica
| Professional | $2.09 | $2.09 | $2.09 |