| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $218.78 | $15,848.93 | $15,848.93 | |
CareSource
| Facility | $223.87 | $223.87 | $275.42 | |
Cigna
| Facility | $34.67 | $354.81 | $354.81 | |
United
| Facility | $4,466.84 | $4,466.84 | $4,466.84 |