| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $319.01 | $370.63 | $8,229.00 | |
CareSource
| Facility | $297.27 | $406.01 | $468.37 | |
Cigna
| Facility | $357.10 | $357.10 | $394.57 | |
United
| Facility | $1,300.00 | $6,818.00 | $16,703.00 |