| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $707.95 | $707.95 | $1,698.24 | |
CareSource
| Facility | $776.25 | $776.25 | $933.25 | |
Cigna
| Facility | $1,230.27 | $1,230.27 | $1,862.09 | |
United
| Facility | $2,884.03 | $2,884.03 | $9,120.11 |