| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $724.44 | $724.44 | $1,412.54 | |
CareSource
| Facility | $758.58 | $758.58 | $933.25 | |
Cigna
| Facility | $34.67 | $1,202.26 | $1,202.26 | |
United
| Facility | $4,466.84 | $4,466.84 | $9,120.11 |