| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $870.96 | $870.96 | $2,570.40 | |
CareSource
| Facility | $933.25 | $933.25 | $1,122.02 | |
Cigna
| Facility | $34.67 | $1,479.11 | $1,479.11 | |
United
| Facility | $4,466.84 | $4,466.84 | $9,120.11 |