| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $436.52 | $436.52 | $1,584.89 | |
CareSource
| Facility | $478.63 | $478.63 | $575.44 | |
Cigna
| Facility | $776.25 | $776.25 | $1,659.59 | |
United
| Facility | $1,230.27 | $1,230.27 | $4,466.84 |