| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $891.25 | $891.25 | $1,698.24 | |
CareSource
| Facility | $954.99 | $954.99 | $1,148.15 | |
Cigna
| Facility | $1,548.82 | $1,548.82 | $1,862.09 | |
United
| Facility | $2,454.71 | $2,454.71 | $9,332.54 |