| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,344.23 | $2,344.23 | $2,344.23 | |
CareSource
| Facility | $2,818.38 | $3,630.78 | $4,786.30 | |
Cigna
| Facility | $34.67 | $4,570.88 | $4,570.88 | |
United
| Facility | $758.58 | $758.58 | $1,995.26 |