| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $741.31 | $741.31 | $1,698.24 | |
CareSource
| Facility | $776.25 | $776.25 | $933.25 | |
Cigna
| Facility | $1,258.93 | $1,258.93 | $1,862.09 | |
United
| Facility | $2,884.03 | $2,884.03 | $9,772.37 |