| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $741.31 | $741.31 | $741.31 | |
Aetna
| Professional | $602.56 | $741.31 | $933.25 | |
Cigna
| Professional | $912.01 | $912.01 | $912.01 | |
Molina
| Professional | $44.67 | $60.26 | $1,000.00 | |
Select Health
| Professional | $1.20 | $1.20 | $1.20 | |
United
| Professional | $891.25 | $891.25 | $891.25 |