| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $398.11 | $398.11 | $2,290.87 | |
CareSource
| Facility | $407.38 | $407.38 | $501.19 | |
Cigna
| Facility | $34.67 | $645.65 | $645.65 | |
United
| Facility | $2,884.03 | $2,884.03 | $10,471.29 |