| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $977.24 | $977.24 | $3,019.95 | |
CareSource
| Facility | $1,096.48 | $1,096.48 | $1,318.26 | |
Cigna
| Facility | $34.67 | $1,778.28 | $1,778.28 | |
United
| Facility | $758.58 | $758.58 | $758.58 |