| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $234.42 | $389.05 | $1,412.54 | |
CareSource
| Facility | $263.03 | $263.03 | $323.59 | |
Cigna
| Facility | $426.58 | $426.58 | $1,659.59 | |
United
| Facility | $2,454.71 | $2,454.71 | $8,128.31 |