| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $438.28 | $690.21 | $1,700.00 | |
CareSource
| Facility | $483.50 | $534.52 | $582.36 | |
Cigna
| Facility | $522.64 | $522.64 | $522.64 | |
United
| Facility | $2,910.00 | $2,910.00 | $2,910.00 |