| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $426.58 | $426.58 | $1,698.24 | |
CareSource
| Facility | $436.52 | $436.52 | $524.81 | |
Cigna
| Facility | $707.95 | $707.95 | $2,290.87 | |
United
| Facility | $1,230.27 | $1,230.27 | $6,456.54 |