| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $707.95 | $707.95 | $1,584.89 | |
CareSource
| Facility | $794.33 | $794.33 | $954.99 | |
Cigna
| Facility | $34.67 | $1,258.93 | $1,258.93 | |
United
| Facility | $2,454.71 | $2,454.71 | $26,302.68 |