| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $31.88 | $31.88 | $31.88 | |
Moda Health
| Facility | $27.06 | $33.47 | $45.88 | |
Molina
| Professional | $30.00 | $30.00 | $3,900.00 |
Diagnostic Casts
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $31.88 | $31.88 | $31.88 | |
Moda Health
| Facility | $27.06 | $33.47 | $45.88 | |
Molina
| Professional | $30.00 | $30.00 | $3,900.00 |