| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,120.53 | $1,120.53 | $1,400.00 | |
CareSource
| Facility | $1,214.80 | $1,377.76 | $1,501.09 | |
Cigna
| Facility | $1,305.26 | $1,305.26 | $1,305.26 | |
United
| Facility | $765.00 | $765.00 | $765.00 |