| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $562.34 | $562.34 | $1,698.24 | |
CareSource
| Facility | $588.84 | $588.84 | $691.83 | |
Cigna
| Facility | $933.25 | $933.25 | $2,290.87 | |
United
| Facility | $2,454.71 | $2,454.71 | $6,456.54 |