| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,300.00 | $6,588.15 | $6,588.15 | |
CareSource
| Facility | $637.64 | $700.25 | $762.93 | |
Cigna
| Facility | $682.74 | $682.74 | $682.74 | |
United
| Facility | $2,450.00 | $2,450.00 | $2,450.00 |