| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,041.91 | $1,041.91 | $3,050.00 | |
CareSource
| Facility | $1,059.75 | $1,208.70 | $1,316.90 | |
Cigna
| Facility | $1,125.98 | $1,125.98 | $1,125.98 | |
United
| Facility | $15,155.78 | $15,155.78 | $15,155.78 |