| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $186.21 | $1,412.54 | $1,698.24 | |
CareSource
| Facility | $199.53 | $199.53 | $239.88 | |
Cigna
| Facility | $34.67 | $316.23 | $316.23 | |
United
| Facility | $2,884.03 | $2,884.03 | $19,498.45 |