| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $309.03 | $371.54 | $1,412.54 | |
CareSource
| Facility | $346.74 | $346.74 | $416.87 | |
Cigna
| Facility | $549.54 | $549.54 | $1,318.26 | |
United
| Facility | $1,230.27 | $1,230.27 | $9,772.37 |