| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $407.38 | $549.54 | $2,290.87 | |
CareSource
| Facility | $457.09 | $457.09 | $549.54 | |
Cigna
| Facility | $724.44 | $724.44 | $2,290.87 | |
United
| Facility | $2,454.71 | $2,454.71 | $10,964.78 |