| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $245.47 | $245.47 | $1,584.89 | |
CareSource
| Facility | $295.12 | $295.12 | $363.08 | |
Cigna
| Facility | $478.63 | $478.63 | $1,659.59 | |
United
| Facility | $2,454.71 | $2,454.71 | $5,495.41 |