| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $723.34 | $1,143.38 | $1,700.00 | |
CareSource
| Facility | $795.00 | $885.46 | $964.72 | |
Cigna
| Facility | $852.59 | $852.59 | $852.59 | |
United
| Facility | $8,024.23 | $8,024.23 | $8,024.23 |