| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $912.01 | $1,000.00 | $1,737.80 | |
CareSource
| Professional | $1,122.02 | $1,122.02 | $1,122.02 | |
Cigna
| Professional | $954.99 | $1,479.11 | $5,754.40 | |
United
| Professional | $812.83 | $1,230.27 | $1,698.24 |