| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $705.32 | $1,105.49 | $2,600.00 | |
CareSource
| Facility | $769.00 | $856.12 | $932.76 | |
Cigna
| Facility | $824.32 | $824.32 | $824.32 | |
United
| Facility | $3,522.00 | $3,522.00 | $3,522.00 |