| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $144.54 | $144.54 | $144.54 | |
Aetna
| Professional | $14.13 | $14.13 | $144.54 | |
Cigna
| Professional | $131.83 | $131.83 | $131.83 | |
Select Health
| Professional | $89.13 | $89.13 | $89.13 |