| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,412.54 | $1,862.09 | $3,548.13 | |
CareSource
| Facility | $1,949.84 | $1,949.84 | $2,344.23 | |
Cigna
| Facility | $3,090.30 | $3,090.30 | $3,090.30 | |
United
| Facility | $3,548.13 | $3,548.13 | $16,595.87 |