| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,146.38 | $1,146.38 | $1,400.00 | |
CareSource
| Facility | $1,230.68 | $1,376.89 | $1,500.13 | |
Cigna
| Facility | $1,413.49 | $1,413.49 | $1,413.49 | |
United
| Facility | $8,421.00 | $8,421.00 | $8,421.00 |