| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $398.11 | $1,412.54 | $2,691.53 | |
CareSource
| Professional | $478.63 | $478.63 | $478.63 | |
Cigna
| Professional | $398.11 | $1,778.28 | $10,000.00 | |
United
| Professional | $416.87 | $1,288.25 | $3,981.07 |