| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $575.44 | $575.44 | $1,698.24 | |
CareSource
| Facility | $616.60 | $616.60 | $758.58 | |
Cigna
| Facility | $977.24 | $977.24 | $1,862.09 | |
United
| Facility | $2,454.71 | $2,454.71 | $9,120.11 |