| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $758.58 | $758.58 | $2,290.87 | |
CareSource
| Facility | $794.33 | $794.33 | $977.24 | |
Cigna
| Facility | $1,288.25 | $1,288.25 | $2,290.87 | |
United
| Facility | $2,884.03 | $2,884.03 | $8,912.51 |