| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.11 | $0.11 | $0.11 | |
Aetna
| Professional | $0.09 | $0.09 | $0.11 | |
Hally Health
| Professional | $1.07 | $1.07 | $1.14 | |
Moda Health
| Facility | $0.09 | $0.09 | $0.12 | |
Molina
| Professional | $30.00 | $30.00 | $3,900.00 |