| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $912.01 | $912.01 | $1,584.89 | |
CareSource
| Facility | $1,023.29 | $1,023.29 | $1,258.93 | |
Cigna
| Facility | $1,659.59 | $1,659.59 | $1,659.59 | |
United
| Facility | $2,884.03 | $2,884.03 | $15,135.61 |