| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $737.14 | $737.14 | $1,400.00 | |
CareSource
| Facility | $835.59 | $924.73 | $1,007.51 | |
Cigna
| Facility | $892.93 | $892.93 | $892.93 | |
United
| Facility | $14,252.78 | $14,252.78 | $14,252.78 |