| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,400.00 | $2,646.70 | $2,646.70 | |
CareSource
| Facility | $2,671.40 | $3,061.25 | $3,335.27 | |
Cigna
| Facility | $2,860.34 | $2,860.34 | $2,860.34 | |
Cigna
| Facility | AS | $278.42 | $278.42 | $278.42 |