| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,400.00 | $2,312.23 | $3,516.59 | |
CareSource
| Facility | $2,386.71 | $2,723.34 | $2,967.12 | |
Cigna
| Facility | $2,563.40 | $2,563.40 | $2,563.40 | |
United
| Facility | $765.00 | $765.00 | $765.00 |