| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,184.59 | $17,862.75 | $17,862.75 | |
CareSource
| Facility | $1,425.03 | $1,647.50 | $1,794.97 | |
Cigna
| Facility | $1,536.11 | $1,536.11 | $1,536.11 | |
United
| Facility | $765.00 | $765.00 | $765.00 |