| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $232.16 | $414.77 | $1,400.00 | |
CareSource
| Facility | $290.00 | $318.39 | $346.90 | |
Cigna
| Facility | $465.00 | $465.00 | $465.00 | |
United
| Facility | $9,096.79 | $9,096.79 | $9,096.79 |