| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $707.95 | $707.95 | $2,570.40 | |
CareSource
| Facility | $776.25 | $776.25 | $933.25 | |
Cigna
| Facility | $1,230.27 | $1,230.27 | $2,511.89 | |
United
| Facility | $3,548.13 | $3,548.13 | $20,417.38 |