| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $398.11 | $524.81 | $1,698.24 | |
CareSource
| Facility | $436.52 | $436.52 | $537.03 | |
Cigna
| Facility | $707.95 | $707.95 | $1,862.09 | |
United
| Facility | $2,884.03 | $2,884.03 | $9,120.11 |