| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $1,445.44 | $2,290.87 | |
CareSource
| Facility | $1,071.52 | $1,071.52 | $1,258.93 | |
Cigna
| Facility | $1,698.24 | $1,698.24 | $2,290.87 | |
United
| Facility | $3,548.13 | $3,548.13 | $16,595.87 |