| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $11.68 | $28.52 | $41.51 | |
BCBS
| Facility | $10.88 | $18.50 | $18.50 | |
BCBS
| Professional | $11.90 | $13.60 | $15.81 | |
Medica
| Facility | $28.52 | $41.51 | $62.27 | |
Medica
| Professional | $1,975.05 | $1,975.05 | $1,975.05 |