| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $831.76 | $831.76 | $1,584.89 | |
CareSource
| Facility | $870.96 | $870.96 | $1,071.52 | |
Cigna
| Facility | $34.67 | $1,412.54 | $1,412.54 | |
United
| Facility | $645.65 | $645.65 | $1,230.27 |