| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $712.02 | $1,106.77 | $1,700.00 | |
CareSource
| Facility | $769.83 | $857.11 | $933.84 | |
Cigna
| Facility | $826.87 | $826.87 | $826.87 | |
United
| Facility | $20,028.63 | $20,028.63 | $20,028.63 |