| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $602.56 | $602.56 | $1,412.54 | |
CareSource
| Facility | $676.08 | $676.08 | $831.76 | |
Cigna
| Facility | $1,096.48 | $1,096.48 | $1,318.26 | |
United
| Facility | $4,466.84 | $4,466.84 | $15,135.61 |