| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $607.65 | $668.41 | $1,400.00 | |
CareSource
| Facility | $658.32 | $732.13 | $797.67 | |
Cigna
| Facility | $706.77 | $706.77 | $706.77 | |
United
| Facility | $2,910.00 | $2,910.00 | $2,910.00 |