| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,819.70 | $1,819.70 | $1,819.70 | |
Aetna
| Professional | $1,778.28 | $1,819.70 | $2,137.96 | |
Cigna
| Professional | $2,398.83 | $2,398.83 | $2,951.21 | |
Molina
| Professional | $30.20 | $30.20 | $60.26 | |
Select Health
| Professional | $1,995.26 | $2,041.74 | $2,344.23 |