| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $645.65 | $645.65 | $1,698.24 | |
CareSource
| Facility | $691.83 | $691.83 | $831.76 | |
Cigna
| Facility | $1,122.02 | $1,122.02 | $1,122.02 | |
United
| Facility | $2,454.71 | $2,454.71 | $7,762.47 |