| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $691.83 | $691.83 | $2,290.87 | |
CareSource
| Facility | $707.95 | $707.95 | $851.14 | |
Cigna
| Facility | $1,148.15 | $1,148.15 | $2,511.89 | |
United
| Facility | $2,454.71 | $2,454.71 | $6,606.93 |