| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $616.60 | $616.60 | $1,698.24 | |
CareSource
| Facility | $691.83 | $691.83 | $831.76 | |
Cigna
| Facility | $1,096.48 | $1,096.48 | $1,862.09 | |
United
| Facility | $3,548.13 | $3,548.13 | $20,417.38 |