| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $562.34 | $562.34 | $562.34 | |
Aetna
| Professional | $190.55 | $323.59 | $562.34 | |
Cigna
| Professional | $338.84 | $338.84 | $338.84 | |
Molina
| Professional | $44.67 | $60.26 | $489.78 | |
Select Health
| Professional | $467.74 | $549.54 | $575.44 | |
United
| Professional | $676.08 | $676.08 | $676.08 |