| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $354.81 | $457.09 | $1,584.89 | |
CareSource
| Facility | $380.19 | $380.19 | $457.09 | |
Cigna
| Facility | $616.60 | $616.60 | $616.60 | |
United
| Facility | $2,454.71 | $2,454.71 | $16,595.87 |