| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $174.71 | $174.71 | $174.71 | |
Aetna
| Professional | $143.87 | $174.71 | $224.00 | |
Health Alliance Plan
| Facility | $174.71 | $174.71 | $174.71 | |
Health Alliance Plan
| Professional | $144.07 | $174.71 | $224.00 | |
Molina
| Professional | $30.00 | $30.00 | $55.00 |