| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $972.51 | $2,546.46 | $2,546.46 | |
CareSource
| Facility | $682.54 | $753.13 | $820.56 | |
Cigna
| Facility | $732.07 | $732.07 | $732.07 | |
United
| Facility | $20,028.63 | $20,028.63 | $20,028.63 |