| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $323.59 | $323.59 | $1,412.54 | |
CareSource
| Facility | $346.74 | $346.74 | $407.38 | |
Cigna
| Facility | $34.67 | $549.54 | $549.54 | |
United
| Facility | $2,884.03 | $2,884.03 | $10,000.00 |