| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,400.00 | $1,422.29 | $1,422.29 | |
CareSource
| Facility | $1,441.95 | $1,644.67 | $1,791.90 | |
Cigna
| Facility | $1,548.00 | $1,548.00 | $1,548.00 | |
United
| Facility | $4,342.50 | $4,342.50 | $4,342.50 |