| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $660.69 | $660.69 | $1,412.54 | |
CareSource
| Facility | $707.95 | $707.95 | $870.96 | |
Cigna
| Facility | $1,148.15 | $1,148.15 | $1,318.26 | |
United
| Facility | $2,454.71 | $2,454.71 | $9,120.11 |