| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $841.29 | $841.29 | $1,600.00 | |
CareSource
| Facility | $871.01 | $946.01 | $1,030.70 | |
Cigna
| Facility | $943.61 | $943.61 | $943.61 | |
United
| Facility | $2,450.00 | $2,450.00 | $2,450.00 |