| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $795.42 | $795.42 | $1,600.00 | |
CareSource
| Facility | $791.59 | $855.31 | $1,034.94 | |
Cigna
| Facility | $915.91 | $915.91 | $915.91 | |
United
| Facility | $18,283.98 | $18,283.98 | $18,283.98 |