| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $718.24 | $1,120.67 | $2,300.00 | |
CareSource
| Facility | $779.96 | $867.88 | $945.57 | |
Cigna
| Facility | $835.85 | $835.85 | $835.85 | |
Cigna
| Facility | AS | $82.88 | $82.88 | $82.88 |
United
| Facility | $4,439.00 | $4,439.00 | $4,439.00 |