| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $489.78 | $489.78 | $1,584.89 | |
CareSource
| Facility | $512.86 | $512.86 | $616.60 | |
Cigna
| Facility | $831.76 | $831.76 | $1,862.09 | |
United
| Facility | $2,454.71 | $2,454.71 | $6,456.54 |