| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $72.44 | $72.44 | $72.44 | |
Aetna
| Professional | $70.79 | $72.44 | $87.10 | |
Cigna
| Professional | $194.98 | $194.98 | $194.98 | |
Molina
| Professional | $44.67 | $44.67 | $60.26 | |
Select Health
| Professional | $79.43 | $93.33 | $107.15 | |
United
| Professional | $83.18 | $83.18 | $83.18 |