| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,400.00 | $1,584.55 | $1,584.55 | |
CareSource
| Facility | $1,681.03 | $1,914.50 | $2,085.89 | |
Cigna
| Facility | $1,801.46 | $1,801.46 | $1,801.46 | |
Cigna
| Facility | AS | $176.79 | $176.79 | $176.79 |