| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $323.59 | $323.59 | $2,290.87 | |
CareSource
| Facility | $363.08 | $363.08 | $436.52 | |
Cigna
| Facility | $575.44 | $575.44 | $2,290.87 | |
United
| Facility | $1,230.27 | $1,230.27 | $9,120.11 |