| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $870.96 | $870.96 | $2,290.87 | |
CareSource
| Facility | $933.25 | $933.25 | $1,148.15 | |
Cigna
| Facility | $1,513.56 | $1,513.56 | $2,290.87 | |
United
| Facility | $1,230.27 | $1,230.27 | $5,754.40 |