| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $229.16 | $347.58 | $3,205.09 | |
CareSource
| Facility | $240.47 | $269.18 | $293.27 | |
Cigna
| Facility | $258.07 | $258.07 | $258.07 | |
United
| Facility | $1,225.00 | $1,225.00 | $1,225.00 |