| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $697.41 | $1,055.74 | $2,600.00 | |
CareSource
| Facility | $744.28 | $817.60 | $890.78 | |
Cigna
| Facility | $815.73 | $815.73 | $815.73 | |
United
| Facility | $9,096.79 | $9,096.79 | $9,096.79 |