| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $416.87 | $549.54 | $1,412.54 | |
CareSource
| Facility | $446.68 | $446.68 | $537.03 | |
Cigna
| Facility | $724.44 | $724.44 | $724.44 | |
United
| Facility | $2,454.71 | $2,454.71 | $7,762.47 |