| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $676.08 | $851.14 | $1,698.24 | |
CareSource
| Facility | $758.58 | $758.58 | $912.01 | |
Cigna
| Facility | $1,230.27 | $1,230.27 | $1,862.09 | |
United
| Facility | $2,454.71 | $2,454.71 | $20,417.38 |