| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $426.58 | $426.58 | $1,698.24 | |
CareSource
| Facility | $457.09 | $457.09 | $549.54 | |
Cigna
| Facility | $34.67 | $724.44 | $724.44 | |
United
| Facility | $2,454.71 | $2,454.71 | $10,715.19 |