| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $144.38 | $956.75 | $2,500.00 | |
BCBS
| Facility | $211.37 | $211.37 | $253.64 | |
CareSource
| Facility | $207.75 | $207.75 | $207.75 | |
Cigna
| Facility | $247.76 | $247.76 | $247.76 | |
United
| Facility | $130.00 | $360.00 | $768.00 |