| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $317.47 | $2,811.22 | $10,268.00 | |
CareSource
| Facility | $226.35 | $282.94 | $336.19 | |
Cigna
| Facility | $21,571.00 | $21,571.00 | $21,571.00 | |
United
| Facility | $444.00 | $979.00 | $3,218.00 |