| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $528.14 | $813.49 | $2,300.00 | |
CareSource
| Facility | $564.71 | $629.99 | $686.38 | |
Cigna
| Facility | $604.55 | $604.55 | $604.55 | |
United
| Facility | $7,688.75 | $7,688.75 | $7,688.75 |