| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $741.31 | $741.31 | $2,290.87 | |
CareSource
| Facility | $776.25 | $776.25 | $954.99 | |
Cigna
| Facility | $1,230.27 | $1,230.27 | $1,230.27 | |
United
| Facility | $2,884.03 | $2,884.03 | $10,000.00 |