| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $131.83 | $162.18 | $8,709.64 | |
CareSource
| Facility | $151.36 | $151.36 | $181.97 | |
Cigna
| Facility | $239.88 | $239.88 | $1,318.26 | |
United
| Facility | $2,454.71 | $2,454.71 | $5,888.44 |