| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $250.89 | $421.02 | $1,200.00 | |
CareSource
| Facility | $270.67 | $301.70 | $328.71 | |
Cigna
| Facility | $434.02 | $434.02 | $434.02 | |
United
| Facility | $8,024.23 | $8,024.23 | $8,024.23 |