| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,213.52 | $1,213.52 | $3,500.00 | |
CareSource
| Facility | $1,217.55 | $1,400.40 | $1,525.76 | |
Cigna
| Facility | $1,305.53 | $1,305.53 | $1,305.53 | |
United
| Facility | $765.00 | $765.00 | $765.00 |