| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,400.00 | $1,755.79 | $2,600.00 | |
CareSource
| Facility | $1,768.86 | $1,927.28 | $2,099.80 | |
Cigna
| Facility | $1,927.86 | $1,927.86 | $1,927.86 | |
United
| Facility | $10,572.63 | $10,572.63 | $10,572.63 |