| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $268.10 | $413.71 | $2,277.53 | |
CareSource
| Facility | $288.80 | $320.39 | $349.07 | |
Cigna
| Facility | $307.26 | $307.26 | $307.26 | |
United
| Facility | $9,096.79 | $9,096.79 | $9,096.79 |