| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9.81 | $9.81 | $9.81 | |
Aetna
| Professional | $9.42 | $9.81 | $32.31 | |
Molina
| Professional | $11.20 | $11.20 | $11.20 | |
Providence
| Facility | $5.46 | $7.54 | $10.40 | |
Providence
| Professional | $4.45 | $4.45 | $4.45 | |
United
| Professional | $9.27 | $12.64 | $14.85 |