| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.95 | $25.12 | $48.98 | |
Anthem BCBS
| Professional | $24.55 | $33.88 | $43.65 | |
BCBS
| Professional | $34.67 | $53.70 | $53.70 | |
Medica
| Facility | $22.39 | $28.84 | $57.54 | |
Medica
| Professional | $46.77 | $158.49 | $158.49 |