| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $562.34 | $562.34 | $2,290.87 | |
CareSource
| Facility | $616.60 | $616.60 | $741.31 | |
Cigna
| Facility | $977.24 | $977.24 | $2,290.87 | |
United
| Facility | $3,548.13 | $3,548.13 | $16,595.87 |