| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $389.05 | $389.05 | $1,584.89 | |
CareSource
| Facility | $426.58 | $426.58 | $512.86 | |
Cigna
| Facility | $691.83 | $691.83 | $1,659.59 | |
United
| Facility | $2,884.03 | $2,884.03 | $9,120.11 |