| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,400.00 | $2,123.75 | $3,634.30 | |
CareSource
| Facility | $2,445.40 | $2,814.50 | $3,066.44 | |
Cigna
| Facility | $2,606.76 | $2,606.76 | $2,606.76 | |
Cigna
| Facility | AS | $257.88 | $257.88 | $257.88 |
United
| Facility | $765.00 | $765.00 | $765.00 |