| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,366.04 | $1,738.69 | $27,046.07 | |
CareSource
| Facility | $1,450.81 | $1,657.22 | $1,805.57 | |
Cigna
| Facility | $1,548.07 | $1,548.07 | $1,548.07 | |
Cigna
| Facility | AS | $153.38 | $153.38 | $153.38 |