| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,412.54 | $1,737.80 | $1,737.80 | |
CareSource
| Facility | $1,778.28 | $1,778.28 | $2,187.76 | |
Cigna
| Facility | $34.67 | $2,818.38 | $2,818.38 | |
United
| Facility | $758.58 | $758.58 | $758.58 |