| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $489.19 | $767.55 | $1,700.00 | |
CareSource
| Facility | $536.10 | $594.41 | $647.62 | |
Cigna
| Facility | $578.05 | $578.05 | $578.05 | |
United
| Facility | $2,910.00 | $2,910.00 | $2,910.00 |