| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.01 | $15.01 | $15.01 | |
Aetna
| Professional | $9.28 | $11.32 | $15.01 | |
BCBS
| Professional | $27.58 | $27.58 | $27.58 | |
Medica
| Facility | $9.02 | $14.40 | $20.23 | |
Medica
| Professional | $75.13 | $75.13 | $75.13 |