| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $575.44 | $575.44 | $1,584.89 | |
CareSource
| Facility | $645.65 | $645.65 | $776.25 | |
Cigna
| Facility | $1,047.13 | $1,047.13 | $1,659.59 | |
United
| Facility | $2,884.03 | $2,884.03 | $15,135.61 |