| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $457.09 | $724.44 | $1,412.54 | |
CareSource
| Facility | $512.86 | $512.86 | $645.65 | |
Cigna
| Facility | $812.83 | $812.83 | $1,318.26 | |
United
| Facility | $2,454.71 | $2,454.71 | $5,495.41 |