| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $190.55 | $190.55 | $1,584.89 | |
CareSource
| Facility | $199.53 | $199.53 | $239.88 | |
Cigna
| Facility | $323.59 | $323.59 | $323.59 | |
United
| Facility | $1,230.27 | $1,230.27 | $5,370.32 |