| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $706.55 | $706.55 | $1,600.00 | |
CareSource
| Facility | $681.75 | $741.26 | $807.61 | |
Cigna
| Facility | $791.87 | $791.87 | $791.87 | |
United
| Facility | $6,394.40 | $6,394.40 | $6,394.40 |