| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.43 | $0.43 | $0.43 | |
Aetna
| Professional | $0.37 | $0.37 | $0.43 | |
BCBS
| Professional | $3.37 | $3.37 | $4.55 | |
Providence
| Facility | $3.33 | $3.38 | $4.54 | |
United
| Professional | $4.25 | $4.25 | $4.25 |