| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,374.19 | $1,374.19 | $1,400.00 | |
CareSource
| Facility | $1,398.15 | $1,595.72 | $1,738.57 | |
Cigna
| Facility | $1,501.85 | $1,501.85 | $1,501.85 | |
United
| Facility | $2,910.00 | $2,910.00 | $2,910.00 |