| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $691.77 | $1,061.65 | $3,550.00 | |
CareSource
| Facility | $685.14 | $746.45 | $895.77 | |
Cigna
| Facility | $806.78 | $806.78 | $806.78 | |
United
| Facility | $2,450.00 | $2,450.00 | $2,450.00 |