| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.96 | $10.96 | $10.96 | |
Aetna
| Professional | $7.94 | $10.96 | $15.14 | |
BCBS
| Professional | $27.54 | $27.54 | $27.54 | |
Medica
| Facility | $9.33 | $13.49 | $23.44 | |
Medica
| Professional | $75.86 | $75.86 | $75.86 |