| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $489.78 | $489.78 | $1,412.54 | |
CareSource
| Facility | $575.44 | $575.44 | $707.95 | |
Cigna
| Facility | $912.01 | $912.01 | $1,318.26 | |
United
| Facility | $1,230.27 | $1,230.27 | $9,549.93 |