| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.21 | $1.21 | $1.21 | |
Aetna
| Professional | $1.21 | $1.21 | $1.60 | |
BCBS
| Facility | $0.97 | $1.00 | $5.40 | |
BCBS
| Professional | $4.32 | $5.24 | $5.40 | |
Medica
| Facility | $1.21 | $1.60 | $3.31 |