| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $676.08 | $676.08 | $1,584.89 | |
CareSource
| Facility | $741.31 | $741.31 | $891.25 | |
Cigna
| Facility | $1,174.90 | $1,174.90 | $1,659.59 | |
United
| Facility | $3,548.13 | $3,548.13 | $16,595.87 |