| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,284.94 | $1,284.94 | $1,400.00 | |
CareSource
| Facility | $1,329.13 | $1,508.16 | $1,643.17 | |
Cigna
| Facility | $1,419.97 | $1,419.97 | $1,419.97 | |
United
| Facility | $765.00 | $765.00 | $765.00 |