| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $144.54 | $758.58 | $1,412.54 | |
CareSource
| Facility | $154.88 | $154.88 | $186.21 | |
Cigna
| Facility | $34.67 | $245.47 | $245.47 | |
United
| Facility | $1,230.27 | $1,230.27 | $5,370.32 |