| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $628.20 | $982.69 | $2,300.00 | |
CareSource
| Facility | $683.27 | $761.03 | $829.14 | |
Cigna
| Facility | $733.93 | $733.93 | $733.93 | |
United
| Facility | $20,028.63 | $20,028.63 | $20,028.63 |