| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $0.80 | $14.46 | $99.00 | |
BCBS
| Facility | $15.59 | $56.33 | $101.84 | |
BCBS
| Professional | $38.99 | $51.98 | $70.83 | |
Medica
| Facility | $2.39 | $2.39 | $108.90 | |
Medica
| Professional | $2.39 | $2.39 | $26.11 |