| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5.45 | $5.45 | $5.45 | |
Aetna
| Professional | $5.45 | $5.45 | $285.00 | |
BCBS
| Facility | $1.00 | $1.00 | $1.00 | |
Medica
| Facility | $5.45 | $5.45 | $9.21 | |
Medica
| Professional | $6.06 | $6.06 | $6.06 |