| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.97 | $1.97 | $1.97 | |
Aetna
| Professional | $1.72 | $1.76 | $1.97 | |
Molina
| Professional | $4.17 | $4.17 | $6.25 | |
Providence
| Facility | $1.76 | $1.76 | $5.18 | |
United
| Professional | $4.17 | $4.17 | $4.17 |