| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3.20 | $3.20 | $3.20 | |
Aetna
| Professional | $3.20 | $3.20 | $3.20 | |
BCBS
| Facility | $13.43 | $14.14 | $14.14 | |
BCBS
| Professional | $14.00 | $14.00 | $14.00 | |
Medica
| Facility | $3.20 | $3.20 | $4.38 | |
Medica
| Professional | $9.00 | $9.00 | $9.00 |