| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $829.11 | $829.11 | $1,700.00 | |
CareSource
| Facility | $945.93 | $1,093.61 | $1,191.52 | |
Cigna
| Facility | $1,013.29 | $1,013.29 | $1,013.29 | |
United
| Facility | $2,450.00 | $2,450.00 | $2,450.00 |