| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $469.55 | $1,083.00 | $4,713.30 | |
CareSource
| Facility | $466.53 | $506.24 | $1,168.50 | |
Cigna
| Facility | $4,967.35 | $4,967.35 | $4,967.35 | |
United
| Facility | $130.00 | $337.00 | $858.00 |