| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $778.64 | $778.64 | $2,600.00 | |
CareSource
| Facility | $805.26 | $875.92 | $954.32 | |
Cigna
| Facility | $868.67 | $868.67 | $868.67 | |
United
| Facility | $6,394.40 | $6,394.40 | $6,394.40 |