| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $537.03 | $537.03 | $1,584.89 | |
CareSource
| Facility | $575.44 | $575.44 | $691.83 | |
Cigna
| Facility | $933.25 | $933.25 | $1,659.59 | |
United
| Facility | $2,454.71 | $2,454.71 | $9,332.54 |