| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $691.83 | $691.83 | $2,290.87 | |
CareSource
| Facility | $741.31 | $741.31 | $891.25 | |
Cigna
| Facility | $1,202.26 | $1,202.26 | $2,290.87 | |
United
| Facility | $1,230.27 | $1,230.27 | $9,120.11 |