| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $572.57 | $896.38 | $1,600.00 | |
CareSource
| Facility | $624.91 | $694.19 | $756.32 | |
Cigna
| Facility | $671.81 | $671.81 | $671.81 | |
United
| Facility | $2,910.00 | $2,910.00 | $2,910.00 |