| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $295.12 | $363.08 | $1,412.54 | |
CareSource
| Facility | $331.13 | $331.13 | $398.11 | |
Cigna
| Facility | $537.03 | $537.03 | $1,318.26 | |
United
| Facility | $2,454.71 | $2,454.71 | $15,135.61 |