| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $229.09 | $229.09 | $1,584.89 | |
CareSource
| Facility | $257.04 | $257.04 | $309.03 | |
Cigna
| Facility | $416.87 | $416.87 | $1,659.59 | |
United
| Facility | $2,454.71 | $2,454.71 | $5,888.44 |