| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.91 | $26.92 | $26.92 | |
Aetna
| Professional | $16.98 | $20.89 | $26.92 | |
Anthem BCBS
| Professional | $15.85 | $19.50 | $27.54 | |
BCBS
| Professional | $31.62 | $41.69 | $41.69 | |
Medica
| Facility | $18.62 | $28.18 | $63.10 | |
Medica
| Professional | $281.84 | $281.84 | $281.84 |