| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $571.97 | $895.57 | $1,700.00 | |
CareSource
| Facility | $624.30 | $693.55 | $755.64 | |
Cigna
| Facility | $671.06 | $671.06 | $671.06 | |
United
| Facility | $2,910.00 | $2,910.00 | $2,910.00 |