| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $36.31 | $36.31 | $74.13 | |
Aetna
| Professional | $34.67 | $36.31 | $56.23 | |
Cigna
| Professional | $14.79 | $14.79 | $60.26 | |
Molina
| Professional | $60.26 | $60.26 | $60.26 | |
Select Health
| Professional | $44.67 | $44.67 | $46.77 |