| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $323.59 | $323.59 | $1,698.24 | |
CareSource
| Facility | $363.08 | $363.08 | $436.52 | |
Cigna
| Facility | $588.84 | $588.84 | $1,862.09 | |
United
| Facility | $3,548.13 | $3,548.13 | $14,125.38 |