| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $676.08 | $676.08 | $2,570.40 | |
CareSource
| Facility | $724.44 | $724.44 | $870.96 | |
Cigna
| Facility | $1,174.90 | $1,174.90 | $2,511.89 | |
United
| Facility | $4,466.84 | $4,466.84 | $35,481.34 |