| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $549.54 | $549.54 | $2,570.40 | |
CareSource
| Facility | $616.60 | $616.60 | $724.44 | |
Cigna
| Facility | $977.24 | $977.24 | $2,511.89 | |
United
| Facility | $3,548.13 | $3,548.13 | $9,332.54 |