| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $3.75 | $3.75 | $3.75 | |
Molina
| Professional | $17.00 | $21.25 | $45.00 |
Mccd,phys coor-care ovrsght
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $3.75 | $3.75 | $3.75 | |
Molina
| Professional | $17.00 | $21.25 | $45.00 |