| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $177.83 | $309.03 | $1,412.54 | |
CareSource
| Facility | $194.98 | $194.98 | $234.42 | |
Cigna
| Facility | $316.23 | $316.23 | $1,318.26 | |
United
| Facility | $2,454.71 | $2,454.71 | $4,466.84 |