| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,400.00 | $1,787.95 | $2,802.32 | |
CareSource
| Facility | $1,900.06 | $2,170.19 | $2,364.46 | |
Cigna
| Facility | $2,036.65 | $2,036.65 | $2,036.65 | |
Cigna
| Facility | AS | $202.26 | $202.26 | $202.26 |