| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $24.46 | $24.46 | $24.46 | |
BCBS
| Professional | $7.46 | $9.78 | $23.51 | |
Molina
| Professional | $6.46 | $22.90 | $34.35 | |
Providence
| Facility | $8.00 | $8.00 | $8.00 | |
Providence
| Professional | $8.00 | $8.00 | $8.00 |