| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $1,000.00 | $2,290.87 | |
CareSource
| Facility | $1,096.48 | $1,096.48 | $1,288.25 | |
Cigna
| Facility | $1,737.80 | $1,737.80 | $2,290.87 | |
United
| Facility | $2,884.03 | $2,884.03 | $20,417.38 |