| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $788.40 | $1,229.07 | $1,700.00 | |
CareSource
| Facility | $852.03 | $951.83 | $1,037.03 | |
Cigna
| Facility | $911.36 | $911.36 | $911.36 | |
United
| Facility | $460.00 | $460.00 | $460.00 |