| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $780.58 | $1,217.33 | $1,700.00 | |
CareSource
| Facility | $846.17 | $942.74 | $1,027.13 | |
Cigna
| Facility | $902.81 | $902.81 | $902.81 | |
United
| Facility | $20,028.63 | $20,028.63 | $20,028.63 |