| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $870.96 | $870.96 | $1,584.89 | |
CareSource
| Facility | $891.25 | $891.25 | $1,096.48 | |
Cigna
| Facility | $34.67 | $1,445.44 | $1,445.44 | |
Cigna
| Facility | AS | $144.54 | $144.54 | $144.54 |
United
| Facility | $1,230.27 | $1,230.27 | $5,370.32 |