| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $365.78 | $1,226.47 | $1,718.40 | |
CareSource
| Facility | $387.32 | $430.08 | $468.57 | |
Cigna
| Facility | $621.05 | $621.05 | $621.05 | |
United
| Facility | $9,894.29 | $9,894.29 | $9,894.29 |