| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $630.96 | $630.96 | $1,698.24 | |
CareSource
| Facility | $660.69 | $660.69 | $812.83 | |
Cigna
| Facility | $1,071.52 | $1,071.52 | $1,071.52 | |
United
| Facility | $3,548.13 | $3,548.13 | $16,595.87 |