| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $578.66 | $906.34 | $1,600.00 | |
CareSource
| Facility | $630.77 | $701.89 | $764.72 | |
Cigna
| Facility | $678.87 | $678.87 | $678.87 | |
United
| Facility | $9,096.79 | $9,096.79 | $9,096.79 |