| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.90 | $0.90 | $0.90 | |
Aetna
| Professional | $0.90 | $0.90 | $5.12 | |
BCBS
| Facility | $184.79 | $188.56 | $407.89 | |
BCBS
| Professional | $150.85 | $182.90 | $188.56 | |
Medica
| Facility | $0.90 | $1.52 | $4.09 |