| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $645.65 | $645.65 | $2,290.87 | |
CareSource
| Facility | $707.95 | $707.95 | $851.14 | |
Cigna
| Facility | $1,148.15 | $1,148.15 | $2,290.87 | |
United
| Facility | $2,884.03 | $2,884.03 | $20,417.38 |