| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,084.08 | $1,084.08 | $2,300.00 | |
CareSource
| Facility | $1,097.07 | $1,189.90 | $1,296.41 | |
Cigna
| Facility | $1,206.44 | $1,206.44 | $1,206.44 | |
United
| Facility | $10,572.63 | $10,572.63 | $10,572.63 |