| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7.59 | $20.89 | $23.44 | |
Aetna
| Professional | $7.08 | $7.59 | $8.13 | |
Health Alliance Plan
| Facility | $7.08 | $20.89 | $23.44 | |
Health Alliance Plan
| Professional | $7.08 | $8.13 | $10.96 | |
United
| Professional | $9.55 | $9.55 | $10.00 |