| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $331.13 | $446.68 | $1,412.54 | |
CareSource
| Facility | $363.08 | $363.08 | $426.58 | |
Cigna
| Facility | $575.44 | $575.44 | $575.44 | |
United
| Facility | $2,454.71 | $2,454.71 | $16,595.87 |