| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,412.54 | $2,754.23 | $3,890.45 | |
CareSource
| Facility | $380.19 | $380.19 | $446.68 | |
Cigna
| Facility | $602.56 | $602.56 | $1,862.09 | |
United
| Facility | $2,454.71 | $2,454.71 | $6,606.93 |