| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $927.13 | $927.13 | $1,400.00 | |
CareSource
| Facility | $1,061.86 | $1,229.05 | $1,339.07 | |
Cigna
| Facility | $1,140.11 | $1,140.11 | $1,140.11 | |
United
| Facility | $765.00 | $765.00 | $765.00 |