| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $380.19 | $1,412.54 | $5,623.41 | |
CareSource
| Facility | $389.05 | $389.05 | $478.63 | |
Cigna
| Facility | $34.67 | $630.96 | $630.96 | |
United
| Facility | $8,511.38 | $8,511.38 | $15,848.93 |