| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,066.03 | $1,066.03 | $3,050.00 | |
CareSource
| Facility | $1,070.33 | $1,228.67 | $1,338.65 | |
Cigna
| Facility | $1,140.36 | $1,140.36 | $1,140.36 | |
United
| Facility | $15,155.78 | $15,155.78 | $15,155.78 |