| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $87.10 | $87.10 | $91.20 | |
Aetna
| Professional | $61.66 | $87.10 | $114.82 | |
Cigna
| Professional | $79.43 | $79.43 | $100.00 | |
Molina
| Professional | $60.26 | $60.26 | $60.26 | |
Select Health
| Professional | $63.10 | $63.10 | $97.72 |