| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $154.88 | $158.49 | $158.49 | |
Aetna
| Professional | $154.88 | $173.78 | $213.80 | |
Cigna
| Professional | $44.67 | $44.67 | $44.67 | |
Molina
| Professional | $30.20 | $30.20 | $60.26 | |
Select Health
| Professional | $199.53 | $213.80 | $229.09 | |
United
| Professional | $162.18 | $208.93 | $208.93 |