| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $902.55 | $902.55 | $3,050.00 | |
CareSource
| Facility | $908.71 | $1,041.30 | $1,134.51 | |
Cigna
| Facility | $975.20 | $975.20 | $975.20 | |
United
| Facility | $15,155.78 | $15,155.78 | $15,155.78 |