| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $288.40 | $446.68 | $1,412.54 | |
CareSource
| Facility | $295.12 | $295.12 | $354.81 | |
Cigna
| Facility | $478.63 | $478.63 | $1,659.59 | |
United
| Facility | $2,454.71 | $2,454.71 | $6,606.93 |