| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $380.19 | $2,818.38 | $9,772.37 | |
CareSource
| Facility | $263.03 | $380.19 | $446.68 | |
Cigna
| Facility | $489.78 | $489.78 | $489.78 | |
Cigna
| Facility | 22 | $588.84 | $588.84 | $588.84 |
United
| Facility | $58.88 | $724.44 | $42,657.95 |