| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $371.41 | $590.08 | $2,300.00 | |
CareSource
| Facility | $415.97 | $456.97 | $497.88 | |
Cigna
| Facility | $444.18 | $444.18 | $444.18 | |
United
| Facility | $2,450.00 | $2,450.00 | $2,450.00 |