| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $870.96 | $870.96 | $1,584.89 | |
CareSource
| Facility | $933.25 | $933.25 | $1,148.15 | |
Cigna
| Facility | $34.67 | $1,513.56 | $1,513.56 | |
Cigna
| Facility | AS | $151.36 | $151.36 | $151.36 |
United
| Facility | $2,884.03 | $2,884.03 | $20,417.38 |