| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,412.54 | $1,412.54 | $1,412.54 | |
CareSource
| Facility | $1,621.81 | $1,621.81 | $2,041.74 | |
Cigna
| Facility | $34.67 | $2,570.40 | $2,570.40 | |
Cigna
| Facility | AS | $257.04 | $257.04 | $257.04 |
United
| Facility | $758.58 | $758.58 | $758.58 |