| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $618.47 | $946.64 | $2,600.00 | |
CareSource
| Facility | $645.35 | $733.10 | $798.73 | |
Cigna
| Facility | $689.98 | $689.98 | $689.98 | |
United
| Facility | $2,910.00 | $2,910.00 | $2,910.00 |