| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,071.52 | $1,071.52 | $1,412.54 | |
CareSource
| Facility | $1,071.52 | $1,071.52 | $1,348.96 | |
Cigna
| Facility | $34.67 | $1,737.80 | $1,737.80 | |
United
| Facility | $4,466.84 | $4,466.84 | $15,488.17 |