| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24.36 | $24.36 | $24.36 | |
Aetna
| Professional | $19.34 | $23.05 | $24.88 | |
BCBS
| Professional | $49.15 | $50.03 | $58.54 | |
Medica
| Facility | $22.56 | $35.13 | $43.24 | |
Medica
| Professional | $42.12 | $283.32 | $283.32 |