| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $537.03 | $537.03 | $1,698.24 | |
CareSource
| Facility | $562.34 | $562.34 | $676.08 | |
Cigna
| Facility | $912.01 | $912.01 | $1,862.09 | |
United
| Facility | $8,511.38 | $8,511.38 | $37,153.52 |