| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $891.25 | $891.25 | $3,467.37 | |
CareSource
| Facility | $933.25 | $933.25 | $1,122.02 | |
Cigna
| Facility | $1,412.54 | $1,412.54 | $1,412.54 | |
United
| Facility | $20,892.96 | $20,892.96 | $51,286.14 |