| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $558.42 | $860.03 | $1,600.00 | |
CareSource
| Facility | $600.29 | $666.04 | $725.65 | |
Cigna
| Facility | $643.57 | $643.57 | $643.57 | |
United
| Facility | $9,096.79 | $9,096.79 | $9,096.79 |