| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $731.33 | $1,122.75 | $1,700.00 | |
CareSource
| Facility | $760.99 | $760.99 | $947.32 | |
Cigna
| Facility | $814.85 | $814.85 | $814.85 | |
Cigna
| Facility | AS | $79.45 | $79.45 | $79.45 |
United
| Facility | $2,450.00 | $2,450.00 | $2,450.00 |