| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $693.48 | $1,181.07 | $1,600.00 | |
CareSource
| Facility | $814.17 | $914.65 | $996.53 | |
Cigna
| Facility | $871.56 | $871.56 | $871.56 | |
Cigna
| Facility | AS | $86.57 | $86.57 | $86.57 |
United
| Facility | $5,474.93 | $5,474.93 | $5,474.93 |