| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,289.38 | $1,400.00 | $3,050.00 | |
CareSource
| Facility | $1,334.91 | $1,522.27 | $1,658.54 | |
Cigna
| Facility | $1,422.98 | $1,422.98 | $1,422.98 | |
United
| Facility | $765.00 | $765.00 | $765.00 |