| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,352.72 | $1,400.00 | $3,050.00 | |
CareSource
| Facility | $1,455.17 | $1,654.70 | $1,802.82 | |
Cigna
| Facility | $1,554.13 | $1,554.13 | $1,554.13 | |
Cigna
| Facility | AS | $154.35 | $154.35 | $154.35 |