| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $724.44 | $724.44 | $1,698.24 | |
CareSource
| Facility | $954.99 | $954.99 | $954.99 | |
Cigna
| Facility | $34.67 | $1,258.93 | $1,258.93 | |
Cigna
| Facility | AS | $125.89 | $125.89 | $125.89 |
United
| Facility | $2,454.71 | $2,454.71 | $8,128.31 |