| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $194.98 | $194.98 | $1,584.89 | |
CareSource
| Facility | $208.93 | $208.93 | $251.19 | |
Cigna
| Facility | $34.67 | $331.13 | $331.13 | |
United
| Facility | $1,230.27 | $1,230.27 | $5,370.32 |