| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.17 | $0.17 | $0.17 | |
Aetna
| Professional | $0.15 | $0.15 | $0.17 | |
Molina
| Professional | $4.17 | $4.17 | $6.25 | |
Providence
| Facility | $0.15 | $0.15 | $1.71 | |
United
| Professional | $0.61 | $0.72 | $0.72 |