| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2.59 | $2.59 | $3.24 | |
Aetna
| Professional | $2.59 | $2.59 | $3.24 | |
BCBS
| Facility | $7.84 | $9.22 | $10.70 | |
BCBS
| Professional | $7.75 | $7.75 | $7.75 | |
Medica
| Facility | $2.59 | $3.24 | $100.00 |