| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $302.00 | $302.00 | $1,584.89 | |
CareSource
| Facility | $316.23 | $316.23 | $380.19 | |
Cigna
| Facility | $512.86 | $512.86 | $512.86 | |
United
| Facility | $1,230.27 | $1,230.27 | $3,311.31 |