| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $794.33 | $794.33 | $2,570.40 | |
CareSource
| Facility | $891.25 | $891.25 | $1,071.52 | |
Cigna
| Facility | $1,412.54 | $1,412.54 | $2,511.89 | |
United
| Facility | $4,466.84 | $4,466.84 | $16,982.44 |