| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $624.79 | $954.94 | $1,700.00 | |
CareSource
| Facility | $616.28 | $666.42 | $805.73 | |
Cigna
| Facility | $716.56 | $716.56 | $716.56 | |
United
| Facility | $3,522.00 | $3,522.00 | $3,522.00 |