| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,412.54 | $1,995.26 | $1,995.26 | |
CareSource
| Facility | $2,041.74 | $2,041.74 | $2,570.40 | |
Cigna
| Facility | $34.67 | $3,311.31 | $3,311.31 | |
United
| Facility | $758.58 | $758.58 | $758.58 |