| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $4.96 | $5.29 | $5.29 | |
BCBS
| Professional | $13.41 | $15.75 | $72.98 | |
Molina
| Professional | $13.41 | $13.41 | $100.00 | |
Providence
| Facility | $12.65 | $12.65 | $12.65 | |
United
| Professional | $6.67 | $10.74 | $16.46 |