| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,513.56 | $3,548.13 | $14,791.08 | |
CareSource
| Facility | $1,621.81 | $1,621.81 | $1,949.84 | |
Cigna
| Facility | $2,570.40 | $2,570.40 | $4,168.69 | |
United
| Facility | $3,548.13 | $3,548.13 | $16,595.87 |