| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $302.00 | $407.38 | $2,290.87 | |
CareSource
| Facility | $338.84 | $338.84 | $407.38 | |
Cigna
| Facility | $549.54 | $549.54 | $2,290.87 | |
United
| Facility | $1,230.27 | $1,230.27 | $5,754.40 |