| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,400.00 | $2,037.95 | $3,158.27 | |
CareSource
| Facility | $2,174.79 | $2,445.85 | $2,664.79 | |
Cigna
| Facility | $2,322.32 | $2,322.32 | $2,322.32 | |
Cigna
| Facility | AS | $229.28 | $229.28 | $229.28 |