| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $602.56 | $602.56 | $1,412.54 | |
CareSource
| Facility | $645.65 | $645.65 | $794.33 | |
Cigna
| Facility | $34.67 | $1,023.29 | $1,023.29 | |
United
| Facility | $457.09 | $457.09 | $1,513.56 |