| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.31 | $1.31 | $1.31 | |
Aetna
| Professional | $1.31 | $1.31 | $1.64 | |
Health Alliance Plan
| Facility | $1.31 | $1.31 | $1.31 | |
Health Alliance Plan
| Professional | $1.31 | $1.31 | $1.64 | |
Molina
| Professional | $30.00 | $30.00 | $55.00 |