| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $501.19 | $912.01 | $1,380.38 | |
Aetna
| Professional | $102.33 | $107.15 | $234.42 | |
Cigna
| Professional | $114.82 | $114.82 | $114.82 | |
Molina
| Professional | $44.67 | $91.20 | $138.04 | |
Select Health
| Professional | $109.65 | $109.65 | $131.83 | |
United
| Professional | $446.68 | $446.68 | $446.68 |