| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,412.54 | $4,168.69 | $7,585.78 | |
CareSource
| Facility | $489.78 | $489.78 | $588.84 | |
Cigna
| Facility | $794.33 | $794.33 | $1,862.09 | |
United
| Facility | $2,884.03 | $2,884.03 | $9,120.11 |