| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,400.00 | $1,672.36 | $3,050.00 | |
CareSource
| Facility | $1,793.20 | $2,053.17 | $2,236.96 | |
Cigna
| Facility | $1,920.98 | $1,920.98 | $1,920.98 | |
Cigna
| Facility | AS | $190.33 | $190.33 | $190.33 |