| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $282.37 | $552.98 | $1,200.00 | |
CareSource
| Facility | $341.85 | $408.55 | $562.48 | |
Cigna
| Facility | $548.15 | $548.15 | $548.15 | |
United
| Facility | $2,496.08 | $2,496.08 | $2,496.08 |