| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $851.14 | $851.14 | $2,570.40 | |
CareSource
| Facility | $954.99 | $954.99 | $1,174.90 | |
Cigna
| Facility | $34.67 | $1,548.82 | $1,548.82 | |
United
| Facility | $1,174.90 | $1,174.90 | $2,454.71 |