| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $162.18 | $162.18 | $162.18 | |
Aetna
| Professional | $120.23 | $162.18 | $162.18 | |
Cigna
| Facility | $125.89 | $933.25 | $1,621.81 | |
Select Health
| Professional | $213.80 | $213.80 | $218.78 | |
United
| Professional | $29.51 | $29.51 | $29.51 |