| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $707.95 | $707.95 | $2,290.87 | |
CareSource
| Facility | $758.58 | $758.58 | $912.01 | |
Cigna
| Facility | $1,202.26 | $1,202.26 | $2,290.87 | |
United
| Facility | $2,884.03 | $2,884.03 | $9,120.11 |