| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $169.82 | $213.80 | $5,754.40 | |
CareSource
| Facility | $194.98 | $194.98 | $234.42 | |
Cigna
| Facility | $309.03 | $309.03 | $1,659.59 | |
United
| Facility | $2,454.71 | $2,454.71 | $9,772.37 |