| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3.80 | $3.80 | $3.80 | |
Aetna
| Professional | $3.80 | $3.80 | $35.00 | |
BCBS
| Facility | $1.00 | $1.00 | $1.00 | |
Medica
| Facility | $3.80 | $3.80 | $6.42 | |
Medica
| Professional | $3.74 | $3.74 | $3.74 |