| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,400.00 | $1,410.34 | $1,410.34 | |
CareSource
| Facility | $1,429.91 | $1,632.35 | $1,778.48 | |
Cigna
| Facility | $1,532.27 | $1,532.27 | $1,532.27 | |
Cigna
| Facility | AS | $149.80 | $149.80 | $149.80 |