| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,018.97 | $1,018.97 | $1,400.00 | |
CareSource
| Facility | $1,015.43 | $1,165.84 | $1,270.20 | |
Cigna
| Facility | $1,092.83 | $1,092.83 | $1,092.83 | |
Cigna
| Facility | AS | $106.22 | $106.22 | $106.22 |
United
| Facility | $15,155.78 | $15,155.78 | $15,155.78 |