| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $190.55 | $190.55 | $1,412.54 | |
CareSource
| Facility | $204.17 | $204.17 | $251.19 | |
Cigna
| Facility | $331.13 | $331.13 | $331.13 | |
United
| Facility | $1,230.27 | $1,230.27 | $3,311.31 |