| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $234.42 | $416.87 | $1,584.89 | |
CareSource
| Facility | $288.40 | $288.40 | $346.74 | |
Cigna
| Facility | $467.74 | $467.74 | $1,659.59 | |
United
| Facility | $2,454.71 | $2,454.71 | $9,120.11 |