| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $642.49 | $992.86 | $1,700.00 | |
CareSource
| Facility | $679.61 | $768.90 | $837.73 | |
Cigna
| Facility | $728.60 | $728.60 | $728.60 | |
United
| Facility | $2,910.00 | $2,910.00 | $2,910.00 |