| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $5.45 | $5.45 | $285.00 | |
BCBS
| Facility | $6.40 | $10.88 | $10.88 | |
BCBS
| Professional | $7.00 | $8.00 | $9.30 | |
Medica
| Facility | $5.45 | $285.00 | $342.00 | |
Medica
| Professional | $6.06 | $6.06 | $6.06 |