| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $489.78 | $489.78 | $1,698.24 | |
CareSource
| Facility | $537.03 | $537.03 | $645.65 | |
Cigna
| Facility | $870.96 | $870.96 | $1,862.09 | |
United
| Facility | $2,884.03 | $2,884.03 | $9,120.11 |