| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $855.84 | $1,281.39 | $1,400.00 | |
CareSource
| Facility | $876.12 | $992.35 | $1,081.17 | |
Cigna
| Facility | $953.81 | $953.81 | $953.81 | |
United
| Facility | $4,439.00 | $4,439.00 | $4,439.00 |