| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $758.58 | $758.58 | $1,698.24 | |
CareSource
| Facility | $812.83 | $812.83 | $977.24 | |
Cigna
| Facility | $34.67 | $1,288.25 | $1,288.25 | |
Cigna
| Facility | AS | $128.82 | $128.82 | $128.82 |
United
| Facility | $4,466.84 | $4,466.84 | $20,417.38 |