| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,174.90 | $17,782.79 | $17,782.79 | |
CareSource
| Facility | $1,412.54 | $1,412.54 | $1,778.28 | |
Cigna
| Facility | $34.67 | $2,290.87 | $2,290.87 | |
United
| Facility | $758.58 | $758.58 | $977.24 |