| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15.40 | $15.40 | $15.40 | |
BCBS
| Facility | $16.22 | $16.63 | $20.79 | |
BCBS
| Professional | $13.86 | $18.48 | $30.72 | |
Medica
| Facility | $6.21 | $15.40 | $69.73 | |
Medica
| Professional | $5.23 | $5.23 | $5.23 |