| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $204.17 | $912.01 | $1,412.54 | |
CareSource
| Facility | $229.09 | $229.09 | $275.42 | |
Cigna
| Facility | $34.67 | $363.08 | $363.08 | |
United
| Facility | $2,454.71 | $2,454.71 | $5,888.44 |