| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $371.54 | $371.54 | $1,698.24 | |
CareSource
| Facility | $371.54 | $371.54 | $457.09 | |
Cigna
| Facility | $34.67 | $588.84 | $588.84 | |
United
| Facility | $8,511.38 | $8,511.38 | $53,703.18 |