| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $931.61 | $931.61 | $1,700.00 | |
CareSource
| Facility | $996.24 | $1,118.46 | $1,218.58 | |
Cigna
| Facility | $1,066.75 | $1,066.75 | $1,066.75 | |
United
| Facility | $16,357.60 | $16,357.60 | $16,357.60 |