| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $234.42 | $234.42 | $3,548.13 | |
CareSource
| Facility | $269.15 | $269.15 | $323.59 | |
Cigna
| Facility | $426.58 | $426.58 | $4,168.69 | |
Cigna
| Facility | AS | $42.66 | $42.66 | $42.66 |
United
| Facility | $457.09 | $457.09 | $457.09 |