| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $206.63 | $1,295.00 | $3,804.00 | |
BCBS
| Facility | $1,513.19 | $1,513.19 | $1,815.83 | |
CareSource
| Facility | $225.27 | $225.27 | $225.27 | |
Cigna
| Facility | $560.25 | $560.25 | $560.25 | |
United
| Facility | $330.00 | $811.00 | $2,285.00 |