| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.82 | $0.82 | $0.82 | |
Aetna
| Professional | $0.82 | $0.82 | $1.02 | |
BCBS
| Professional | $61.12 | $72.02 | $78.83 | |
Medica
| Facility | $0.82 | $0.83 | $1.52 | |
Medica
| Professional | $141.37 | $141.37 | $141.37 |