| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,400.00 | $1,487.13 | $1,487.13 | |
CareSource
| Facility | $1,646.00 | $1,838.93 | $2,003.54 | |
Cigna
| Facility | $1,756.32 | $1,756.32 | $1,756.32 | |
Cigna
| Facility | AS | $174.03 | $174.03 | $174.03 |