| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $875.46 | $875.46 | $2,600.00 | |
CareSource
| Facility | $985.28 | $1,093.24 | $1,191.10 | |
Cigna
| Facility | $1,052.61 | $1,052.61 | $1,052.61 | |
United
| Facility | $14,252.78 | $14,252.78 | $14,252.78 |