| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.34 | $0.34 | $0.34 | |
Aetna
| Professional | $0.34 | $0.34 | $0.34 | |
BCBS
| Professional | $2.40 | $2.40 | $2.40 | |
Molina
| Professional | $2.40 | $2.40 | $2.40 | |
Providence
| Facility | $0.34 | $0.34 | $0.87 | |
Providence
| Professional | $0.33 | $0.33 | $0.33 |