| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $630.96 | $630.96 | $1,584.89 | |
CareSource
| Facility | $676.08 | $676.08 | $812.83 | |
Cigna
| Facility | $1,096.48 | $1,096.48 | $1,659.59 | |
United
| Facility | $1,230.27 | $1,230.27 | $9,120.11 |