| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $190.55 | $891.25 | $1,698.24 | |
CareSource
| Facility | $257.04 | $257.04 | $257.04 | |
Cigna
| Facility | $34.67 | $338.84 | $338.84 | |
United
| Facility | $2,884.03 | $2,884.03 | $9,772.37 |