| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2.09 | $2.09 | $2.09 | |
Aetna
| Professional | $1.83 | $1.83 | $2.09 | |
Molina
| Professional | $0.19 | $0.19 | $0.19 | |
Providence
| Facility | $1.69 | $1.82 | $2.36 | |
United
| Professional | $1.86 | $1.86 | $1.86 |