| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3.98 | $3.98 | $3.98 | |
Aetna
| Professional | $2.00 | $3.02 | $3.98 | |
BCBS
| Professional | $2.24 | $3.02 | $4.57 | |
Molina
| Professional | $5.50 | $5.50 | $5.50 | |
Providence
| Facility | $3.89 | $5.13 | $6.17 | |
Providence
| Professional | $1.62 | $1.62 | $3.16 | |
United
| Facility | $3.80 | $3.80 | $3.80 | |
United
| Professional | $3.89 | $7.94 | $11.75 |