| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $436.52 | $1,698.24 | $26,302.68 | |
CareSource
| Facility | $467.74 | $467.74 | $575.44 | |
Cigna
| Facility | $34.67 | $758.58 | $758.58 | |
United
| Facility | $2,454.71 | $2,454.71 | $5,011.87 |