| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $1,000.00 | $2,570.40 | |
CareSource
| Facility | $1,071.52 | $1,071.52 | $1,288.25 | |
Cigna
| Facility | $34.67 | $1,698.24 | $1,698.24 | |
United
| Facility | $4,466.84 | $4,466.84 | $20,417.38 |