| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $501.19 | $501.19 | $2,290.87 | |
CareSource
| Facility | $501.19 | $501.19 | $616.60 | |
Cigna
| Facility | $34.67 | $794.33 | $794.33 | |
United
| Facility | $20,892.96 | $20,892.96 | $53,703.18 |