| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $327.39 | $360.13 | $1,400.00 | |
CareSource
| Facility | $361.92 | $399.55 | $435.32 | |
Cigna
| Facility | $392.07 | $392.07 | $392.07 | |
United
| Facility | $1,225.00 | $1,225.00 | $1,225.00 |