| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $331.13 | $1,122.02 | $1,584.89 | |
CareSource
| Facility | $354.81 | $354.81 | $426.58 | |
Cigna
| Facility | $34.67 | $562.34 | $562.34 | |
United
| Facility | $2,884.03 | $2,884.03 | $18,197.01 |