| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,096.48 | $1,258.93 | $1,698.24 | |
CareSource
| Facility | $1,174.90 | $1,174.90 | $1,445.44 | |
Cigna
| Facility | $1,862.09 | $1,905.46 | $1,905.46 | |
United
| Facility | $3,548.13 | $3,548.13 | $16,595.87 |