| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $467.74 | $467.74 | $2,290.87 | |
CareSource
| Facility | $524.81 | $524.81 | $630.96 | |
Cigna
| Facility | $831.76 | $831.76 | $2,290.87 | |
United
| Facility | $2,884.03 | $2,884.03 | $9,120.11 |