| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $328.79 | $673.67 | $1,776.17 | |
CareSource
| Professional | $402.61 | $402.61 | $402.61 | |
Cigna
| Professional | $402.61 | $1,522.14 | $5,361.24 | |
United
| Professional | $1,126.46 | $2,513.35 | $5,766.27 |