| 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 | $0.05 | $0.05 | $1.00 | |
BCBS
| Professional | $0.04 | $0.05 | $0.05 | |
Medica
| Facility | $4.00 | $4.00 | $6.76 | |
Medica
| Professional | $6.83 | $6.83 | $6.83 |