| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.00 | $15.85 | $20.89 | |
Anthem BCBS
| Professional | $9.12 | $22.91 | $40.74 | |
BCBS
| Professional | $27.54 | $42.66 | $45.71 | |
Medica
| Facility | $14.45 | $25.70 | $52.48 | |
Medica
| Professional | $120.23 | $120.23 | $120.23 |