| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,412.54 | $2,818.38 | $2,818.38 | |
CareSource
| Facility | $3,235.94 | $3,235.94 | $3,981.07 | |
Cigna
| Facility | $34.67 | $5,248.07 | $5,248.07 | |
United
| Facility | $758.58 | $758.58 | $758.58 |