| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $815.20 | $1,267.68 | $1,700.00 | |
CareSource
| Facility | $871.73 | $981.73 | $1,069.60 | |
Cigna
| Facility | $925.87 | $925.87 | $925.87 | |
United
| Facility | $2,910.00 | $2,910.00 | $2,910.00 |