| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $740.51 | $1,125.22 | $1,700.00 | |
CareSource
| Facility | $791.17 | $871.40 | $949.40 | |
Cigna
| Facility | $863.08 | $863.08 | $863.08 | |
United
| Facility | $2,910.00 | $2,910.00 | $2,910.00 |