| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4.00 | $4.00 | $4.00 | |
Aetna
| Professional | $4.00 | $4.00 | $4.00 | |
BCBS
| Facility | $1.77 | $1.86 | $1.86 | |
BCBS
| Professional | $1.56 | $1.56 | $1.56 | |
Medica
| Facility | $4.00 | $4.00 | $5.36 | |
Medica
| Professional | $6.83 | $6.83 | $6.83 |