| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $193.26 | $298.75 | $1,600.00 | |
CareSource
| Facility | $208.12 | $231.36 | $252.07 | |
Cigna
| Facility | $222.19 | $222.19 | $222.19 | |
United
| Facility | $1,225.00 | $1,225.00 | $5,318.53 |