| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.41 | $0.41 | $0.41 | |
Aetna
| Professional | $0.41 | $0.41 | $0.41 | |
BCBS
| Professional | $2.10 | $2.10 | $2.10 | |
Molina
| Professional | $2.10 | $2.10 | $2.10 | |
Providence
| Facility | $0.41 | $0.41 | $1.33 | |
Providence
| Professional | $0.40 | $0.40 | $0.40 |