| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.83 | $10.83 | $10.83 | |
Aetna
| Professional | $9.40 | $10.83 | $12.50 | |
BCBS
| Professional | $24.11 | $24.54 | $28.71 | |
Medica
| Facility | $10.19 | $15.25 | $21.85 | |
Medica
| Professional | $21.05 | $283.32 | $283.32 |