| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $954.99 | $1,412.54 | $7,244.36 | |
CareSource
| Facility | $977.24 | $977.24 | $1,174.90 | |
Cigna
| Facility | $1,584.89 | $1,584.89 | $4,168.69 | |
United
| Facility | $3,548.13 | $3,548.13 | $11,481.54 |