| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.26 | $47.56 | $47.56 | |
Aetna
| Professional | $19.02 | $19.26 | $19.73 | |
BCBS
| Facility | $18.35 | $43.36 | $107.22 | |
BCBS
| Professional | $16.39 | $20.17 | $47.65 | |
Medica
| Facility | $19.26 | $21.19 | $41.79 | |
Medica
| Professional | $90.36 | $90.36 | $90.36 |