| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $501.19 | $501.19 | $1,698.24 | |
CareSource
| Facility | $537.03 | $537.03 | $660.69 | |
Cigna
| Facility | $851.14 | $851.14 | $1,862.09 | |
United
| Facility | $2,454.71 | $2,454.71 | $9,120.11 |