| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9.28 | $9.28 | $9.28 | |
Aetna
| Professional | $6.63 | $9.40 | $11.12 | |
BCBS
| Professional | $14.00 | $14.00 | $14.00 | |
Medica
| Facility | $8.86 | $9.75 | $14.76 | |
Medica
| Professional | $9.19 | $16.80 | $283.32 |