| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,412.54 | $1,548.82 | $2,570.40 | |
CareSource
| Facility | $1,621.81 | $1,621.81 | $1,995.26 | |
Cigna
| Facility | $34.67 | $2,570.40 | $2,570.40 | |
United
| Facility | $4,466.84 | $4,466.84 | $20,417.38 |