| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $515.49 | $515.49 | $2,600.00 | |
CareSource
| Facility | $543.64 | $601.00 | $654.79 | |
Cigna
| Facility | $582.65 | $582.65 | $582.65 | |
United
| Facility | $2,910.00 | $2,910.00 | $2,910.00 |