| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $851.14 | $851.14 | $1,698.24 | |
CareSource
| Facility | $851.14 | $851.14 | $1,000.00 | |
Cigna
| Facility | $1,380.38 | $1,380.38 | $2,290.87 | |
United
| Facility | $2,884.03 | $2,884.03 | $10,964.78 |