| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $851.14 | $851.14 | $2,290.87 | |
CareSource
| Facility | $912.01 | $912.01 | $1,096.48 | |
Cigna
| Facility | $1,445.44 | $1,445.44 | $1,659.59 | |
United
| Facility | $3,548.13 | $3,548.13 | $16,595.87 |