| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $263.03 | $7,244.36 | $7,244.36 | |
CareSource
| Facility | $288.40 | $288.40 | $354.81 | |
Cigna
| Facility | $467.74 | $467.74 | $1,659.59 | |
United
| Facility | $691.83 | $691.83 | $1,995.26 |