| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.05 | $16.05 | $16.05 | |
Aetna
| Professional | $12.03 | $14.90 | $16.05 | |
BCBS
| Professional | $34.06 | $34.67 | $40.57 | |
Medica
| Facility | $14.02 | $21.12 | $29.02 | |
Medica
| Professional | $26.60 | $283.32 | $283.32 |