| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17.80 | $33.28 | $49.92 | |
Aetna
| Professional | $13.48 | $13.48 | $16.18 | |
BCBS
| Facility | $12.18 | $46.26 | $73.28 | |
BCBS
| Professional | $7.70 | $11.20 | $74.20 | |
Medica
| Facility | $13.48 | $19.28 | $100.00 | |
Medica
| Professional | $13.81 | $18.36 | $18.36 |