| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.73 | $0.73 | $0.73 | |
Aetna
| Professional | $0.73 | $0.73 | $0.73 | |
BCBS
| Professional | $6.60 | $6.60 | $6.60 | |
Molina
| Professional | $6.60 | $6.60 | $6.60 | |
Providence
| Facility | $0.73 | $0.73 | $6.89 | |
Providence
| Professional | $0.72 | $0.72 | $0.72 |